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1508421280
ANTWAIN ALEXANDER
WEST VALLEY CITY, UT
NPI
1508421280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0005769)
Enumeration Date
2019-05-07
Last Update Date
2019-05-07
Business Address
Mr. ANTWAIN ALEXANDER PA-C
3505 W EL CABRIO DR
WEST VALLEY CITY, UT 84119-6710
Phone number: 719-406-1868
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Mailing Address
Mr. ANTWAIN ALEXANDER PA-C
3505 W EL CABRIO DR
WEST VALLEY CITY, UT 84119-6710
Phone number: 719-406-1868
Copy
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