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1124725304
MAIKIE SENGDENG
SALT LAKE CITY, UT
NPI
1124725304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-02-08
Last Update Date
2023-06-14
Business Address
MAIKIE SENGDENG PA-C
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112-5550
Phone number: 801-585-3229
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Mailing Address
MAIKIE SENGDENG PA-C
7374 S TRAVERTINE RD
WEST JORDAN, UT 84081-4855
Phone number:
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