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1114504461
VICTOR VENEGAS
MURRAY, UT
NPI
1114504461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 7689207-4405)
Enumeration Date
2021-03-24
Last Update Date
2021-10-12
Business Address
VICTOR VENEGAS
6065 S FASHION BLVD STE 255
MURRAY, UT 84107-5403
Phone number: 801-467-4210
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Mailing Address
VICTOR VENEGAS
965 E 900 N
BOUNTIFUL, UT 84010-2736
Phone number: 801-831-8561
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