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1104258763
SANDRA BETHEL JENSE
SALT LAKE CITY, UT
NPI
1104258763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT 6617074-4405)
Enumeration Date
2013-08-06
Last Update Date
2020-02-25
Business Address
SANDRA BETHEL JENSE APRN
522 E 100 S
SALT LAKE CITY, UT 84102-1905
Phone number: 801-485-5055
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Mailing Address
SANDRA BETHEL JENSE APRN
522 E 100 S
SALT LAKE CITY, UT 84102-1905
Phone number: 801-485-5055
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