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Individual

JEANETTE VERNON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
82 NO 50 EAST, COALVILLE, UT 84017
(435) 336-4403
(435) 336-5570
Mailing address
999 S. W. HOYTSVILLE RD, COALVILLE, UT 84017
(435) 336-2771

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
921066421206
UT

Other

Enumeration date
05/04/2007
Last updated
07/08/2007
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