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1942273149
MICHAEL E SEVERANCE
OGDEN, UT
NPI
1942273149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 4728390-1206)
Enumeration Date
2006-02-08
Last Update Date
2023-04-21
Business Address
MICHAEL E SEVERANCE PA-C
5405 S 500 E STE 205
OGDEN, UT 84405-7420
Phone number: 801-479-0174
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Mailing Address
MICHAEL E SEVERANCE PA-C
PO BOX 281721
ATLANTA, GA 30384-1721
Phone number:
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