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1790131480
TYLER JORDAN MCKINNON
KAYSVILLE, UT
NPI
1790131480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10097081-1206)
Enumeration Date
2016-05-11
Last Update Date
2024-11-08
Business Address
TYLER JORDAN MCKINNON PA-C
1351 W 200 N
KAYSVILLE, UT 84037
Phone number: 801-475-3420
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Mailing Address
TYLER JORDAN MCKINNON PA-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3500
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