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1407373640
GARRETT RYAN GUNDRY
LOGAN, UT
NPI
1407373640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 12819884-1206)
Enumeration Date
2017-08-28
Last Update Date
2024-03-28
Business Address
Mr. GARRETT RYAN GUNDRY PA-C
115 GOLF COURSE RD STE E
LOGAN, UT 84321-5934
Phone number: 435-999-4059
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Mailing Address
Mr. GARRETT RYAN GUNDRY PA-C
12002 N 5600 W
CORNISH, UT 84308-1712
Phone number: 208-380-0251
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