Individual
SEAN BOURNE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
76 N 1100 E, AMERICAN FORK, UT 84003-2952
(801) 756-4021
Mailing address
1974 TUSCANY DR, SARATOGA SPRINGS, UT 84045-3287
(801) 768-1177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6434211-1701
UT
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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