JACQUELINE BERNADINE PETRAVAGE

SALT LAKE CITY, UT
NPI1104861079
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: UT  1664161205)
Enumeration Date2006-06-17
Last Update Date2007-07-08
Business Address
Dr. JACQUELINE BERNADINE PETRAVAGE M.D.
VETERAN'S HOSPITAL, 500 FOOTHILL BLVD BLDG 47
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
Mailing Address
Dr. JACQUELINE BERNADINE PETRAVAGE M.D.
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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