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1023048634
LAWRENCE DIXON
SALT LAKE CITY, UT
NPI
1023048634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: UT 209300-4405)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Mr. LAWRENCE DIXON APRN
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Mr. LAWRENCE DIXON APRN
3821 SUNNYDALE DR
SALT LAKE CITY, UT 84109-3501
Phone number:
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