JENNIFER JEAN CLARK

PROVO, UT
NPI1730631490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  10132491-1206)
Enumeration Date2016-10-28
Last Update Date2022-12-03
Business Address
JENNIFER JEAN CLARK PA
1055 N 500 W STE 212
PROVO, UT 84604-3305
Phone number: 801-812-5033
Mailing Address
JENNIFER JEAN CLARK PA
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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