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1205007093
MARK P PULVER
MIDVALE, UT
NPI
1205007093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 6766665-1206)
Enumeration Date
2008-03-19
Last Update Date
2016-08-01
Business Address
Mr. MARK P PULVER PA
602 FORT UNION BLVD 2ND FLOOR
MIDVALE, UT 84047-2216
Phone number: 801-313-1010
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Mailing Address
Mr. MARK P PULVER PA
1250 E 3900 S STE 450
SALT LAKE CITY, UT 84124-1349
Phone number: 801-313-1010
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