Provider First Line Business Practice Location Address:
ECCLESS INSTITUTE OF HUMAN GENETICS: 15 N MEDICAL DR RM
Provider Second Line Business Practice Location Address:
SPACE BASE DELTA 1
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-581-2121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/08/2011