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Individual

MANDANA SARVGHAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8645 HIGHLAND DR, SANDY, UT 84093-1695
(801) 942-0071
(801) 942-8965
Mailing address
8547 MIVU CIR, SANDY, UT 84093-1470
(801) 694-1168

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5394684-1701
UT

Other

Enumeration date
09/17/2010
Last updated
09/17/2010
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