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Individual

JANIS K CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
3584 W. 9000 S., SUITE 311, WEST JORDAN, UT 84088-4775
(801) 566-8304
(801) 566-8330
Mailing address
3584 W. 9000 S., SUITE 311, WEST JORDAN, UT 84088-4775
(801) 566-8304
(801) 566-8330

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
105404-1206
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470897660008
UT
Enumeration date
07/31/2006
Last updated
07/08/2007
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