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1720005317
JASON T KOO
DRAPER, UT
NPI
1720005317
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: TX M1188)
Enumeration Date
2006-07-17
Last Update Date
2010-07-05
Business Address
Dr. JASON T KOO MD
13249 CASCADE GLEN DR
DRAPER, UT 84020-7146
Phone number: 801-572-5226
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Mailing Address
Dr. JASON T KOO MD
13249 CASCADE GLEN DR
DRAPER, UT 84020-7146
Phone number: 801-572-5226
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