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Individual

MARY KAY O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 581-2121

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
329393-1206
UT

Other

Enumeration date
10/25/2006
Last updated
11/10/2021
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