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1255397287
JERRY G HONG
SALT LAKE CITY, UT
NPI
1255397287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: UT 113884-2401)
Enumeration Date
2006-04-26
Last Update Date
2007-07-08
Business Address
-- JERRY G HONG PT
3451 S 5600 W #F
SALT LAKE CITY, UT 84120-1301
Phone number: 801-957-0900
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Mailing Address
-- JERRY G HONG PT
PO BOX 1000
DRAPER, UT 84020-1000
Phone number: 801-352-9500
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