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1912963117
ELMER G SISNEROS
SOUTH JORDAN, UT
NPI
1912963117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 314098-1206)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
-- ELMER G SISNEROS PA
10464 S REDWOOD RD
SOUTH JORDAN, UT 84095-8501
Phone number: 801-260-1919
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Mailing Address
-- ELMER G SISNEROS PA
PO BOX 1000
DRAPER, UT 84020-1000
Phone number: 801-352-9500
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