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1205966389
JOHN HUMPHREYS
SALT LAKE CITY, UT
NPI
1205966389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 361599-1206 , 8906)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
-- JOHN HUMPHREYS PA-C
404 S 400 W
SALT LAKE CITY, UT 84101-2201
Phone number: 801-364-0058
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Mailing Address
-- JOHN HUMPHREYS PA-C
318 WESTWOOD RD
PARK CITY, UT 84098-5607
Phone number: 435-649-7553
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