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1134870405
C SCOT MCCUSKER
SALT LAKE CITY, UT
NPI
1134870405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: UT 12476182-3101)
Enumeration Date
2022-01-18
Last Update Date
2022-01-18
Business Address
C SCOT MCCUSKER LPN
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
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Mailing Address
C SCOT MCCUSKER LPN
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
Copy
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