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1851628218
ROBERT ANDREW SERPICO
PROVO, UT
NPI
1851628218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 7472700-1206)
Enumeration Date
2009-11-05
Last Update Date
2021-11-18
Business Address
Mr. ROBERT ANDREW SERPICO PA-C, MSPAC
1375 N UNIVERSITY AVE
PROVO, UT 84604-2658
Phone number: 801-377-4745
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Mailing Address
Mr. ROBERT ANDREW SERPICO PA-C, MSPAC
924 LORRAINE AVE
SALT LAKE CITY, UT 84106-2045
Phone number: 801-891-0896
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