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Individual

CLAIRE ACKERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
250 N STATE ST, SALT LAKE CITY, UT 84103-4616
(954) 243-8018
Mailing address
250 N STATE ST, SALT LAKE CITY, UT 84103-4616
(954) 243-8018

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
128885601206
UT

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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