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1396757241
JARED P SPACKMAN
WEST JORDAN, UT
NPI
1396757241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 4808078-1206)
Enumeration Date
2006-08-12
Last Update Date
2021-11-18
Business Address
Mr. JARED P SPACKMAN PA-C
8822 SOUTH REDWOOD ROAD C-211
WEST JORDAN, UT 84088-8811
Phone number: 801-563-1975
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Mailing Address
Mr. JARED P SPACKMAN PA-C
8822 SOUTH REDWOOD ROAD C-211
WEST JORDAN, UT 84088-8811
Phone number: 801-563-1975
Copy
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