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1528438140
JAMIE COY GRANGE
LOGAN, UT
NPI
1528438140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 95341561206)
Enumeration Date
2015-09-25
Last Update Date
2022-06-24
Business Address
JAMIE COY GRANGE PA-C
2245 N 400 E STE 301
LOGAN, UT 84341-1892
Phone number: 435-753-7880
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Mailing Address
JAMIE COY GRANGE PA-C
2245 N 400 E STE 301
LOGAN, UT 84341
Phone number: 435-753-7880
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