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1104580356
ELIZABETH MARIA DURHAM
SALT LAKE CITY, UT
NPI
1104580356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7081449-4405)
Enumeration Date
2021-10-25
Last Update Date
2022-06-15
Business Address
ELIZABETH MARIA DURHAM Nurse Practitioner
324 E 10TH AVE STE 100
SALT LAKE CITY, UT 84103-2870
Phone number: 801-408-7500
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Mailing Address
ELIZABETH MARIA DURHAM Nurse Practitioner
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-7500
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