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1669440152
VIET LE
SALT LAKE CITY, UT
NPI
1669440152
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 288757-1206)
Enumeration Date
2006-03-09
Last Update Date
2021-09-07
Business Address
VIET LE PAC
5121 S COTTONWOOD ST BLDG 1
SALT LAKE CITY, UT 84107-5701
Phone number: 801-507-4907
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Mailing Address
VIET LE PAC
5121 S COTTONWOOD ST BLDG 1
SALT LAKE CITY, UT 84107-5701
Phone number: 801-507-4907
Copy
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