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1104271154
CHRISTOPHER VAN TERRY
WEST JORDAN, UT
NPI
1104271154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9712155-1206)
Enumeration Date
2016-04-27
Last Update Date
2016-04-27
Business Address
-- CHRISTOPHER VAN TERRY PA-C
3590 W 9000 S SUITE 240
WEST JORDAN, UT 84088-8857
Phone number: 801-505-5370
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Mailing Address
-- CHRISTOPHER VAN TERRY PA-C
3590 W 9000 S SUITE 240
WEST JORDAN, UT 84088-8857
Phone number: 801-505-5370
Copy
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