JAKE ANTHONY LINDBERG MARANTO

PROVO, UT
NPI1144010380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  14226711-1206)
Enumeration Date2025-05-10
Last Update Date2025-12-01
Business Address
JAKE ANTHONY LINDBERG MARANTO
395 W COUGAR BLVD STE 801
PROVO, UT 84604-3311
Phone number: 801-229-1054
Mailing Address
JAKE ANTHONY LINDBERG MARANTO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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