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1093092678
TODD HAMBLIN
LOGAN, UT
NPI
1093092678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5554739-4405)
Enumeration Date
2011-11-09
Last Update Date
2018-03-17
Business Address
TODD HAMBLIN
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-716-1130
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Mailing Address
TODD HAMBLIN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-716-1130
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