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1912407180
MATTHEW PAUL
PARK CITY, UT
NPI
1912407180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8452730-1206)
Enumeration Date
2018-02-14
Last Update Date
2018-02-14
Business Address
MATTHEW PAUL
1784 UINTA WAY UNIT E2
PARK CITY, UT 84098-7685
Phone number: 435-604-0160
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Mailing Address
MATTHEW PAUL
PO BOX 3024
JACKSON, WY 83001-3024
Phone number:
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