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1205862208
KIMBERLY DAWN HAYCOCK
CEDAR CITY, UT
NPI
1205862208
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Former Name
KIMBERLY DAWN JENKINS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 5170865-1206)
Enumeration Date
2006-06-23
Last Update Date
2016-10-10
Business Address
Ms. KIMBERLY DAWN HAYCOCK PA-C
1303 N MAIN ST
CEDAR CITY, UT 84721-9746
Phone number: 435-868-5251
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Mailing Address
Ms. KIMBERLY DAWN HAYCOCK PA-C
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 485-590-1124
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