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1013317361
JONATHAN MIDDLEMISS
SALT LAKE CITY, UT
NPI
1013317361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-08-23
Last Update Date
2023-07-29
Business Address
JONATHAN MIDDLEMISS PA-C
1220 E 3900 S STE 4A
SALT LAKE CITY, UT 84124-1326
Phone number: 801-261-8507
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Mailing Address
JONATHAN MIDDLEMISS PA-C
PO BOX 741648
ATLANTA, GA 30374-1648
Phone number:
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