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1144861451
DESIREE DEON CLARK
SANDY, UT
NPI
1144861451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9507169-1206)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
DESIREE DEON CLARK PA-C
9600 S 1300 E STE 240
SANDY, UT 84094-3783
Phone number: 801-965-3600
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Mailing Address
DESIREE DEON CLARK PA-C
7181 S CAMPUS VIEW DR
WEST JORDAN, UT 84084-4312
Phone number: 801-965-3505
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