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1619203015
JESSICA LATHAM
SALT LAKE CITY, UT
NPI
1619203015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 7432864-1206)
Enumeration Date
2009-10-20
Last Update Date
2023-06-30
Business Address
JESSICA LATHAM PA-C, MPAS
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
JESSICA LATHAM PA-C, MPAS
3590 W 9000 S STE 240
WEST JORDAN, UT 84088-8864
Phone number: 801-352-8373
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