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1083276232
STARLENE ROSE
MIDVALE, UT
NPI
1083276232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 9029106-4405)
Enumeration Date
2019-07-08
Last Update Date
2019-07-08
Business Address
STARLENE ROSE
602 E FORT UNION BLVD
MIDVALE, UT 84047-2216
Phone number: 801-313-1010
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Mailing Address
STARLENE ROSE
6113 S AZURE MEADOW DR
TAYLORSVILLE, UT 84129-8118
Phone number: 801-462-5701
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