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1720553324
RICHARD CHRISTIAN MONTENEGRO
SALT LAKE CITY, UT
NPI
1720553324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-10-10
Last Update Date
2019-11-27
Business Address
RICHARD CHRISTIAN MONTENEGRO PA
1388 S NAVAJO ST
SALT LAKE CITY, UT 84104-3493
Phone number: 801-955-2360
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Mailing Address
RICHARD CHRISTIAN MONTENEGRO PA
2621 S 3270 W
WEST VALLEY CITY, UT 84119-1119
Phone number: 385-261-2737
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