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Individual

MR. DAVID BRADLEY MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
153216-1701
UT

Other

Enumeration date
07/21/2009
Last updated
07/21/2009
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