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Individual

PROF. DORENE K SAMBADO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
508 E SOUTH TEMPLE, STE. 300, SALT LAKE CITY, UT 84102-1013
(801) 524-4500
(801) 359-1665
Mailing address
508 E SOUTH TEMPLE, STE. 300, SALT LAKE CITY, UT 84102-1013
(801) 524-4500
(801) 359-1665

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
88178936
UT

Other

Enumeration date
03/29/2006
Last updated
07/08/2007
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