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Individual

SELJA ENGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
650 S KOMAS DR, #200, SALT LAKE CITY, UT 84108-1215
(801) 581-5515
Mailing address
1764 S 300 E, SALT LAKE CITY, UT 84115-1763

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
06/27/2016
Last updated
06/27/2016
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