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1063293074
MITZI JEAN FISH
SALT LAKE CITY, UT
NPI
1063293074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: UT 7204486-3102)
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
MITZI JEAN FISH RN
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
MITZI JEAN FISH RN
852 W TIMBER CREEK WAY APT 920
SOUTH SALT LAKE, UT 84119-6472
Phone number: 435-757-2170
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