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1699420364
DANIELA PAZ FAWSON
LOGAN, UT
NPI
1699420364
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13050234-1206)
Enumeration Date
2022-02-21
Last Update Date
2023-12-07
Business Address
DANIELA PAZ FAWSON PA-S
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 859-351-1280
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Mailing Address
DANIELA PAZ FAWSON PA-S
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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