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1356446215
MARTHA P MANDUJANO
SALT LAKE CITY, UT
NPI
1356446215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 6028041-1206)
Enumeration Date
2006-09-14
Last Update Date
2021-11-20
Business Address
Mrs. MARTHA P MANDUJANO PA-C
4745 S 3200 W
SALT LAKE CITY, UT 84118-2822
Phone number: 801-964-6214
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Mailing Address
Mrs. MARTHA P MANDUJANO PA-C
3536 S 1100 E
SALT LAKE CITY, UT 84106-2451
Phone number: 801-347-3520
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