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1134662729
JASON ALLEN
PROVO, UT
NPI
1134662729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10168902-1206)
Enumeration Date
2016-11-30
Last Update Date
2023-11-27
Business Address
JASON ALLEN PA
1055 N 500 W BLDG A
PROVO, UT 84604-3305
Phone number: 801-812-5033
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Mailing Address
JASON ALLEN PA
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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