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1790301380
PHILLIP M LINTZENICH
OGDEN, UT
NPI
1790301380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 11965094-1206)
Enumeration Date
2020-06-19
Last Update Date
2021-04-27
Business Address
PHILLIP M LINTZENICH PA
5475 S 500 E
OGDEN, UT 84405-6905
Phone number: 801-479-2111
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Mailing Address
PHILLIP M LINTZENICH PA
PO BOX 742353
ATLANTA, GA 30374-2353
Phone number:
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