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1104005503
MICHAEL A. POND
SALT LAKE CITY, UT
NPI
1104005503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: UT 270563-1206)
Enumeration Date
2007-11-01
Last Update Date
2007-11-01
Business Address
-- MICHAEL A. POND PAC
FAIRFAX RD AT VIRGINIA ST
SALT LAKE CITY, UT 84103-4399
Phone number: 801-536-3600
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Mailing Address
-- MICHAEL A. POND PAC
FAIRFAX RD AT VIRGINIA ST
SALT LAKE CITY, UT 84103-4399
Phone number: 801-536-3600
Copy
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