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1972681021
KENNETH R. KOFOED
LAYTON, UT
NPI
1972681021
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: UT 7423)
Enumeration Date
2006-11-02
Last Update Date
2007-07-08
Business Address
-- KENNETH R. KOFOED M.D.
1660 W ANTELOPE DR SUIT 115
LAYTON, UT 84041-1156
Phone number: 801-771-3024
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Mailing Address
-- KENNETH R. KOFOED M.D.
PO BOX 786
LAYTON, UT 84041-0786
Phone number: 801-771-3024
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