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1700432937
KAREN MICHELLE HERNANDEZ-PONCE
SALT LAKE CITY, UT
NPI
1700432937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 12472852-1206)
Enumeration Date
2019-08-13
Last Update Date
2022-10-28
Business Address
KAREN MICHELLE HERNANDEZ-PONCE
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-6367
Phone number: 801-581-2121
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Mailing Address
KAREN MICHELLE HERNANDEZ-PONCE
30 N 1900 E # 5R218
SALT LAKE CITY, UT 84132-0002
Phone number:
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