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1619244977
JONATHAN ALLAN
SALT LAKE CITY, UT
NPI
1619244977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 4818116-1206)
Enumeration Date
2011-11-30
Last Update Date
2013-11-25
Business Address
-- JONATHAN ALLAN PA-C
50 N MEDICAL DR SOM 3C-127
SALT LAKE CITY, UT 84132-0100
Phone number: 801-581-5311
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Mailing Address
-- JONATHAN ALLAN PA-C
PO BOX 413035
SALT LAKE CITY, UT 84141-3035
Phone number: 801-213-3900
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