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1639698095
KATHLEEN M EWANOWSKI
SALT LAKE CITY, UT
NPI
1639698095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AS0400X Physician Assistant, Surgical
Enumeration Date
2017-09-15
Last Update Date
2021-10-25
Business Address
KATHLEEN M EWANOWSKI PA-C
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2121
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Mailing Address
KATHLEEN M EWANOWSKI PA-C
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-3050
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