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1417989823
GERALD KELTY
SALT LAKE CITY, UT
NPI
1417989823
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 1972371206)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
-- GERALD KELTY PA-C
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
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Mailing Address
-- GERALD KELTY PA-C
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
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