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1114688819
NICOLETTE MOORE
SALT LAKE CITY, UT
NPI
1114688819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7487553-4405)
Enumeration Date
2022-01-04
Last Update Date
2022-01-04
Business Address
NICOLETTE MOORE APRN, FNP-BC
1770 E FORT UNION BLVD STE 101
SALT LAKE CITY, UT 84121-2881
Phone number: 801-997-8881
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Mailing Address
NICOLETTE MOORE APRN, FNP-BC
2387 N 3130 W
LEHI, UT 84043-7308
Phone number: 801-854-3854
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