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Organization

WDC LLC

Active
Other names
CPT CTR
Organization subpart
No

Provider details

NPI number
Authorized official
TERRESA BRISTOL (MANAGER)
(801) 636-8970
Entity
Organization

Contact information

Practice address
98 N WEST STATE RD, AMERICAN FORK, UT 84003-1486
(877) 292-4242
Mailing address
PO BOX 1504, DRAPER, UT 84020-1504

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
08/10/2009
Last updated
07/09/2010
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