SANDRA LOUISE MCNICOLL

MURRAY, UT
NPI1073533188
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: UT  2151388900)
Enumeration Date2006-07-20
Last Update Date2007-10-16
Business Address
-- SANDRA LOUISE MCNICOLL APRN
5801 FASHION BLVD STE 175
MURRAY, UT 84107-8115
Phone number: 801-314-4544
Mailing Address
-- SANDRA LOUISE MCNICOLL APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-314-4544
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