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1992333868
AMANDA ANN ELLGEN
SALT LAKE CITY, UT
NPI
1992333868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: UT 12401792-1205)
Enumeration Date
2020-03-27
Last Update Date
2021-09-17
Business Address
AMANDA ANN ELLGEN MD
175 N MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-5405
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Mailing Address
AMANDA ANN ELLGEN MD
175 N MEDICAL DRIVE EAST
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-5405
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