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1780750091
JARED BEN HAINS
PROVO, UT
NPI
1780750091
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 6358848-1206)
Enumeration Date
2006-11-28
Last Update Date
2023-11-27
Business Address
Mr. JARED BEN HAINS PA
1055 N 500 W STE 101
PROVO, UT 84604-3305
Phone number: 801-373-4366
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Mailing Address
Mr. JARED BEN HAINS PA
1055 N 500 W ATT CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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