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1740756816
JACOB C JUAREZ
LAYTON, UT
NPI
1740756816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 11022394-1206)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
JACOB C JUAREZ PA-C, MPAS
2084 N. 1700 W. SUITE A
LAYTON, UT 84041
Phone number: 801-773-8644
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Mailing Address
JACOB C JUAREZ PA-C, MPAS
2084 N. 1700 W. SUITE A
LAYTON, UT 84041
Phone number: 801-773-8644
Copy
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