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1124175161
MARILYN MARIE CHAN
WEST JORDAN, UT
NPI
1124175161
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Former Name
MARILYN MARIE JONES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT 87-199449-4405)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
-- MARILYN MARIE CHAN EdD MSN MEd APRN
8925 SOUTH 2700 WEST
WEST JORDAN, UT 84044
Phone number: 801-566-6200
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Mailing Address
-- MARILYN MARIE CHAN EdD MSN MEd APRN
3451 S EASTWOOD DRIVE
SALT LAKE CITY, UT 84109
Phone number: 801-272-2682
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