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1962476002
RICHARD WESLEY LATER
PROVO, UT
NPI
1962476002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 1678921205)
Enumeration Date
2006-02-15
Last Update Date
2011-08-15
Business Address
DR. RICHARD WESLEY LATER M.D.
1055 N 300 W #311
PROVO, UT 84604-3344
Phone number: 801-357-7883
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Mailing Address
DR. RICHARD WESLEY LATER M.D.
1055 N 300 W #311
PROVO, UT 84604-3344
Phone number: 801-357-7883
Copy
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