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Individual

MR. SPENCER TODD PALMER SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2740 PENNSYLVANIA AVENUE, OGDEN, UT 84401
(801) 678-9631
Mailing address
215 S 500 S, KAYSVILLE, UT 84037

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
UT

Other

Enumeration date
01/13/2011
Last updated
01/13/2011
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