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1659458339
RONALD R KETELSEN
SALT LAKE CITY, UT
NPI
1659458339
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 102163-1206)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mr. RONALD R KETELSEN PA-C
3981 WASATCH BLVD
SALT LAKE CITY, UT 84124-2247
Phone number: 801-213-9500
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Mailing Address
Mr. RONALD R KETELSEN PA-C
PO BOX 510721
SALT LAKE CITY, UT 84151-0721
Phone number: 801-587-6600
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