JACIE ANNA MUNDAHL

SALT LAKE CITY, UT
NPI1134751902
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  11609094-1206)
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
JACIE ANNA MUNDAHL PA-C
8TH AVE C ST E 80
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-1100
Mailing Address
JACIE ANNA MUNDAHL PA-C
6008 37TH AVE NE
RUGBY, ND 58368-8760
Phone number: 701-771-0134
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