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1366024390
KATRIEN JACK
LAYTON, UT
NPI
1366024390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13028685-1206)
Enumeration Date
2021-04-28
Last Update Date
2023-09-15
Business Address
KATRIEN JACK PA-C
1916 N 700 W STE 250
LAYTON, UT 84041-5723
Phone number: 801-479-0312
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Mailing Address
KATRIEN JACK PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3500
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