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1033951595
LACEY KAY GORDON
OGDEN, UT
NPI
1033951595
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 9139307-4405)
Enumeration Date
2024-06-06
Last Update Date
2024-08-08
Business Address
LACEY KAY GORDON APRN
1355 W 3400 S
OGDEN, UT 84401-3376
Phone number: 801-387-6150
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Mailing Address
LACEY KAY GORDON APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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