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Individual

MCKENZIE ALBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-S

Contact information

Practice address
30 N 1900 E # 3B400, SALT LAKE CITY, UT 84132-8401
(801) 209-0963
Mailing address
461 W 13490 S APT C307, DRAPER, UT 84020-7240
(801) 209-0963

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12464746-1206
UT
363AS0400X
Surgical Physician Assistant
Primary
12464746-1206
UT

Other

Enumeration date
06/13/2020
Last updated
12/04/2023
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