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Individual

DEAN WEEDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
650 KOMAS DR, 200, SLC, UT 84108-1215
(801) 587-3109
(801) 581-8979
Mailing address
650 KOMAS DR, 200, SLC, UT 84108-1215
(801) 587-3109
(801) 581-8979

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/29/2011
Last updated
11/29/2011
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