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Individual

JAMES L NIELSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5370 S 1900 W, ROY, UT 84067-2907
(801) 825-2788
Mailing address
5577 S 200 E, OGDEN, UT 84405-7303
(801) 476-3197

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
129176-1701
UT

Other

Enumeration date
07/18/2006
Last updated
07/08/2007
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