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1861961153
JEFFERY MICHAEL SMITH
SLC, UT
NPI
1861961153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-11-16
Last Update Date
2021-11-17
Business Address
JEFFERY MICHAEL SMITH PA
441 S REDWOOD RD
SLC, UT 84104-3539
Phone number: 801-973-2588
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Mailing Address
JEFFERY MICHAEL SMITH PA
PO BOX 307
BOUNTIFUL, UT 84011-0307
Phone number: 801-294-6907
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