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Individual

SYLVIA PETROLINA DALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50 N MAIN ST, TOOELE, UT 84074-2139
(435) 830-6930
Mailing address
50 NORTH MAIN STREET, TOOELE, UT 84074
(435) 830-6930

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/09/2013
Last updated
07/22/2013
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