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1861667602
KELLY LAFORGE THOMAS
SALT LAKE CITY, UT
NPI
1861667602
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Former Name
KELLY RAE LAFORGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 6851254-1204)
Enumeration Date
2008-04-23
Last Update Date
2021-12-17
Business Address
KELLY LAFORGE THOMAS DO
555 FOOTHILL DR
SALT LAKE CITY, UT 84112-1106
Phone number: 801-581-8000
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Mailing Address
KELLY LAFORGE THOMAS DO
375 CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-587-3411
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