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1902379290
CHRISTY LAN MA
SALT LAKE CITY, UT
NPI
1902379290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 11096385-1206)
Enumeration Date
2019-01-09
Last Update Date
2021-11-18
Business Address
CHRISTY LAN MA PA-C
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132-0002
Phone number: 801-585-2341
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Mailing Address
CHRISTY LAN MA PA-C
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132-0002
Phone number:
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