Individual
CHESTON DEE MAUCHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8055 W 3500 S, MAGNA, UT 84044-2218
(801) 250-6900
(801) 252-1421
Mailing address
4963 W MCGINNIS LN, WEST JORDAN, UT 84081-2479
(801) 580-1207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
316538-1701
UT
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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