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1962592584
DONALD M PEDERSEN
SALT LAKE CITY, UT
NPI
1962592584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 104325-1206)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
DONALD M PEDERSEN PA
1138 WILMINGTON AVE
SALT LAKE CITY, UT 84106-2819
Phone number: 801-581-2000
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Mailing Address
DONALD M PEDERSEN PA
PO BOX 510004
SALT LAKE CITY, UT 84151-0004
Phone number: 801-587-6600
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