JUSTIN ROBERT HASLAM

OGDEN, UT
NPI1033729512
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  9137974-4405)
Enumeration Date2020-08-09
Last Update Date2020-09-01
Business Address
JUSTIN ROBERT HASLAM NP-C
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-479-7771
Mailing Address
JUSTIN ROBERT HASLAM NP-C
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-479-7771
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