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1134419724
CODY WAYNE JARRETT
PROVO, UT
NPI
1134419724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 6189765-1206)
Enumeration Date
2011-04-15
Last Update Date
2017-05-10
Business Address
-- CODY WAYNE JARRETT PA
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7871
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Mailing Address
-- CODY WAYNE JARRETT PA
283 E 930 S
OREM, UT 84058-5001
Phone number: 801-225-6246
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