KENT MA

DRAPER, UT
NPI1568700375
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  85122911206)
Enumeration Date2013-01-29
Last Update Date2013-01-29
Business Address
-- KENT MA PA
233 W BEVERLEE ANN DR
DRAPER, UT 84020-6875
Phone number: 801-550-8895
Mailing Address
-- KENT MA PA
233 W BEVERLEE ANN DR
DRAPER, UT 84020-6875
Phone number: 801-550-8895
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