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1740453703
MELINDA S ROALSTAD
PARK CITY, UT
NPI
1740453703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 3629561206)
Enumeration Date
2008-04-10
Last Update Date
2018-10-15
Business Address
MS. MELINDA S ROALSTAD PAC
1526 WEST UTE BLVD STE 110
PARK CITY, UT 84098
Phone number: 435-659-5932
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Mailing Address
MS. MELINDA S ROALSTAD PAC
PO BOX 980983
PARK CITY, UT 84098
Phone number: 435-659-5932
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