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Jacob Rodriguez Valid NPI

Individual provider · Physician Assistant · Garden City, UT

NPI
1316675382
Type
Individual (Type 1)
Primary specialty
Physician Assistant
Specialty group
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy code
363A00000X
License number
14190579-1206 (UT)
Sex
Male
Sole proprietor
No
Enumerated
2022-08-09
Last updated
2024-11-20
Practice location
325 W Logan Rd
Garden City, UT 84028-7754
(208) 232-7862

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