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1366877029
ROBERT CHAD BANNON
MURRAY, UT
NPI
1366877029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: UT 8782678-1206)
Enumeration Date
2013-09-12
Last Update Date
2014-12-04
Business Address
Mr. ROBERT CHAD BANNON PA-C
5121 S COTTONWOOD ST STE 950
MURRAY, UT 84107-5701
Phone number: 801-507-3462
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Mailing Address
Mr. ROBERT CHAD BANNON PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-507-3462
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