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1235474172
JACOB C FETZER
SALT LAKE CITY, UT
NPI
1235474172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8421267-1206)
Enumeration Date
2012-12-04
Last Update Date
2021-11-09
Business Address
Mr. JACOB C FETZER PA-C
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132-0002
Phone number: 801-585-7676
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Mailing Address
Mr. JACOB C FETZER PA-C
762 E 500 S
SALT LAKE CITY, UT 84102-2906
Phone number: 801-574-6455
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