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1659773216
MEGAN ELLICE CROOKSTON
SOUTH JORDAN, UT
NPI
1659773216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9551758-1206)
Enumeration Date
2014-09-25
Last Update Date
2022-04-29
Business Address
MEGAN ELLICE CROOKSTON
3556 W 9800 S STE 101
SOUTH JORDAN, UT 84095-3221
Phone number: 801-567-9780
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Mailing Address
MEGAN ELLICE CROOKSTON
3556 W 9800 S STE 101
SOUTH JORDAN, UT 84095-3221
Phone number: 801-567-9780
Copy
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