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Individual

NAZANEEN PACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
244 W VINE ST STE 232, MURRAY, UT 84107-5492
(801) 716-1007
Mailing address
3975 S 900 E APT 59, SALT LAKE CITY, UT 84124-1146

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8793753-1206
UT

Other

Enumeration date
12/18/2013
Last updated
07/25/2025
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