SHAUN MICKELSEN

LAYTON, UT
NPI1871945618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  363AM0700X)
Enumeration Date2016-07-05
Last Update Date2016-10-06
Business Address
Mr. SHAUN MICKELSEN PA-C
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
Mailing Address
Mr. SHAUN MICKELSEN PA-C
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840
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