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1104920354
CRAIG AARON PACKHAM
TOOELE, UT
NPI
1104920354
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 51058218002)
Enumeration Date
2006-09-09
Last Update Date
2019-07-15
Business Address
CRAIG AARON PACKHAM PA-C
2356 N 400 E STE 102
TOOELE, UT 84074
Phone number: 435-833-9180
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Mailing Address
CRAIG AARON PACKHAM PA-C
2356 N 400 E STE 102
TOOELE, UT 84074
Phone number: 435-833-9180
Copy
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