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1871628404
TIMOTHY L PEFAUR
SALT LAKE CITY, UT
NPI
1871628404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 309333-1206)
Enumeration Date
2007-02-22
Last Update Date
2007-07-08
Business Address
-- TIMOTHY L PEFAUR PA-C
22 S 900 E
SALT LAKE CITY, UT 84102-1307
Phone number: 801-328-2522
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Mailing Address
-- TIMOTHY L PEFAUR PA-C
22 S 900 E
SLC, UT 84102-1307
Phone number: 801-328-2522
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