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1902458268
TIFFANY PARK
SALT LAKE CITY, UT
NPI
1902458268
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7677725-8906)
Enumeration Date
2019-07-16
Last Update Date
2020-12-07
Business Address
TIFFANY PARK PA-C
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 801-446-3038
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Mailing Address
TIFFANY PARK PA-C
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number:
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