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1487935045
STEVEN IVAN WHITE
BOUNTIFUL, UT
NPI
1487935045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8071288-1206)
Enumeration Date
2011-09-08
Last Update Date
2015-12-16
Business Address
-- STEVEN IVAN WHITE PA
458 N 500 W
BOUNTIFUL, UT 84010-6948
Phone number: 801-292-9355
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Mailing Address
-- STEVEN IVAN WHITE PA
8592 S WASATCH BLVD
SALT LAKE CITY, UT 84121-6044
Phone number: 801-510-1983
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