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1437272820
CONSTANCE KING
MIDVALE, UT
NPI
1437272820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 104569-1209)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mrs. CONSTANCE KING Physician Assistant
1225 FORT UNION BLVD 200
MIDVALE, UT 84047-1889
Phone number: 801-466-3102
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Mailing Address
Mrs. CONSTANCE KING Physician Assistant
6546 S 1580 E
SALT LAKE CITY, UT 84121-2517
Phone number: 801-272-0604
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