Individual
MRS. JAMIE KEARL BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2564
Mailing address
1407 N 100 W, BOUNTIFUL, UT 84010-5977
(801) 292-8962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1943171206
UT
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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