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1508362104
JONATHAN HUGH BENNION
SOUTH JORDAN, UT
NPI
1508362104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10774602-1206)
Enumeration Date
2018-04-03
Last Update Date
2021-10-21
Business Address
JONATHAN HUGH BENNION PA-C
10433 S REDWOOD RD STE 2
SOUTH JORDAN, UT 84095-8502
Phone number: 801-260-1441
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Mailing Address
JONATHAN HUGH BENNION PA-C
4871 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84009-5940
Phone number: 801-910-6846
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