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	| Basic Info |  | Name: | Mickelsen M D |  | Address: | 2998 W Laytham Way Midvale 84047 USA |  | Zip: | 84047 |  | Phone: | 801-566-4135 |  | City: | Midvale |  
	| Additional Info |  | Last Name: | Mickelsen |  | First Name: | M |  | Label Name: | M D Mickelsen |  | Secondary Name: |  |  | Generation Suffix: |  |  | Middle Initial: | 68 |  | YPHC Code: |  |  | Address Number: | 2998 |  | Address Suffix: |  |  | Address Street: | W Laytham Way |  | Adr Misc: |  |  | Lat: | 840 |  | recommended Info |  |