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1720607740
CLARK JACOB THORNTON
PLEASANT GROVE, UT
NPI
1720607740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 13244483-8905)
Enumeration Date
2020-04-09
Last Update Date
2023-07-06
Business Address
CLARK JACOB THORNTON MD
1912 W 930 N
PLEASANT GROVE, UT 84062-4104
Phone number: 801-492-1999
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Mailing Address
CLARK JACOB THORNTON MD
1912 W 930 N
PLEASANT GROVE, UT 84062-4104
Phone number:
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