JOHNATHON IVAR PEDERSEN

BOUNTIFUL, UT
NPI1346056348
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  10222638-4405)
Enumeration Date2024-12-05
Last Update Date2025-03-16
Business Address
JOHNATHON IVAR PEDERSEN FNP-BC
230 S MAIN ST
BOUNTIFUL, UT 84010-6236
Phone number: 801-698-0544
Mailing Address
JOHNATHON IVAR PEDERSEN FNP-BC
230 S MAIN ST
BOUNTIFUL, UT 84010-6236
Phone number: 801-698-0544
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