CHARLES KIP DEWEESE

SALT LAKE CITY, UT
NPI1063506889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  206077-4405)
Enumeration Date2006-10-03
Last Update Date2021-10-20
Business Address
CHARLES KIP DEWEESE APRN
82 S 1100 E SUITE 204
SALT LAKE CITY, UT 84102-1686
Phone number: 801-350-4602
Mailing Address
CHARLES KIP DEWEESE APRN
82 S 1100 E SUITE 204
SALT LAKE CITY, UT 84102-1686
Phone number: 801-350-4602
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