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Individual

DR. JAYNE ELIZABETH CLARK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2180 E 4500 S, SUITE #185, HOLLADAY, UT 84117-4434
(801) 272-6972
(801) 272-6953
Mailing address
2180 E 4500 S, SUITE #185, HOLLADAY, UT 84117-4434
(801) 272-6972
(801) 272-6953

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
165700-1205
UT

Other

Enumeration date
07/27/2005
Last updated
07/08/2007
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