SAGE RYLANT UKENA

OGDEN, UT
NPI1063771475
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  66952204405)
Enumeration Date2012-05-07
Last Update Date2013-05-17
Business Address
-- SAGE RYLANT UKENA APRN
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
Mailing Address
-- SAGE RYLANT UKENA APRN
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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