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1386318095
MONICA MADHAVPEDDI
SALT LAKE CITY, UT
NPI
1386318095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 12458492-8906)
Enumeration Date
2021-08-05
Last Update Date
2021-09-01
Business Address
MONICA MADHAVPEDDI
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
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Mailing Address
MONICA MADHAVPEDDI
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 018-428-4257
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