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Individual

ASHLEY L MACKALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1141 E 3900 S, MILLCREEK, UT 84124-1215
(888) 949-4864
Mailing address
4460 S HIGHLAND DR, SALT LAKE CITY, UT 84124-3543
(888) 949-4864

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
03/16/2018
Last updated
03/16/2018
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