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Individual
MR. ENOCH DANIEL CHRISTOPHERSON
Active
Individual
MR. ENOCH DANIEL CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
377932-1206
UT
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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