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1245967199
TRESS SOPHIA KEOGH
SALT LAKE CITY, UT
NPI
1245967199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13030982-1206)
Enumeration Date
2022-08-02
Last Update Date
2023-05-02
Business Address
TRESS SOPHIA KEOGH
3723 S 645 E
SALT LAKE CITY, UT 84106-1147
Phone number: 704-999-8743
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Mailing Address
TRESS SOPHIA KEOGH
3723 S 645 E
SALT LAKE CITY, UT 84106-1147
Phone number: 704-999-8743
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