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Individual

DR. JONATHAN HILL DAINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4642 HOLLOW RD, NIBLEY, UT 84321-7916
(435) 245-4781
Mailing address
4642 HOLLOW RD, NIBLEY, UT 84321-7916
(435) 245-4781

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1499994-1205
UT

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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