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1942951660
NICHOLAS DEAN JENDERKO
SALT LAKE CITY, UT
NPI
1942951660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 12622303-1206)
Enumeration Date
2022-01-13
Last Update Date
2022-12-11
Business Address
NICHOLAS DEAN JENDERKO PA
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112-5550
Phone number: 801-587-7000
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Mailing Address
NICHOLAS DEAN JENDERKO PA
8843 DANTON WAY
EDEN PRAIRIE, MN 55347-5351
Phone number: 612-839-2666
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