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1124103809
EVELYN C. LOOSE
SALT LAKE CITY, UT
NPI
1124103809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: UT 376409-1205)
Enumeration Date
2006-10-25
Last Update Date
2021-11-18
Business Address
EVELYN C. LOOSE
UNIVERSITY OF UTAH HEALTH SCIENCES CTR 50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-6393
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Mailing Address
EVELYN C. LOOSE
PO BOX 413034
SALT LAKE CITY, UT 84141-3034
Phone number: 801-213-3900
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