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1881750578
RYAN HAL LATIMER
AMERICAN FORK, UT
NPI
1881750578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: UT 6344620-1206)
Enumeration Date
2006-12-28
Last Update Date
2023-11-27
Business Address
Mr. RYAN HAL LATIMER PA-C
1184 E 80 N
AMERICAN FORK, UT 84003-2906
Phone number: 801-763-3885
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Mailing Address
Mr. RYAN HAL LATIMER PA-C
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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