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Individual

DR. TERRILL LANE PHELPS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, ND

Contact information

Practice address
591 N STATE ROAD 198, SALEM, UT 84653-5668
(385) 200-2047
Mailing address
591 N STATE ROAD 198, SALEM, UT 84653-5668
(385) 200-2047

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10250498-1202
ID

Other

Enumeration date
02/28/2017
Last updated
02/28/2017
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