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1003461062
WASATCH PRIMARY CARE PLLC
SALT LAKE CITY, UT
NPI
1003461062
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Entity Type
Organization
Authorized Contact
ANDREW BRICE HEINECKE
Owner
801-350-1065
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-08-07
Last Update Date
2019-08-07
Business Address
WASATCH PRIMARY CARE PLLC
451 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115-2357
Phone number: 801-487-7557
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Mailing Address
WASATCH PRIMARY CARE PLLC
6807 S 3200 W
WEST JORDAN, UT 84084-1828
Phone number: 801-350-1065
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