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1003836024
JEFFERY L BLEAZARD
CEDAR CITY, UT
NPI
1003836024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: UT 373429-1205)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
JEFFERY L BLEAZARD M.D.
1303 N MAIN ST
CEDAR CITY, UT 84720-9746
Phone number: 435-868-5251
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Mailing Address
JEFFERY L BLEAZARD M.D.
1303 N MAIN ST
CEDAR CITY, UT 84720-9746
Phone number: 435-868-5251
Copy
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