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1265419022
KATHY JANE PEDERSEN
SALT LAKE CITY, UT
NPI
1265419022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 102701-1206)
Enumeration Date
2005-12-22
Last Update Date
2007-07-19
Business Address
Ms. KATHY JANE PEDERSEN PA-C, MPAS
4745 S 3200 W
SALT LAKE CITY, UT 84118-2822
Phone number: 801-964-6214
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Mailing Address
Ms. KATHY JANE PEDERSEN PA-C, MPAS
4745 S 3200 W
SALT LAKE CITY, UT 84118-2822
Phone number: 801-964-6214
Copy
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