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1164490520
THERESA J. MCCORMICK
SALT LAKE CITY, UT
NPI
1164490520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: UT 216295-9938)
Enumeration Date
2006-03-10
Last Update Date
2007-07-09
Business Address
Ms. THERESA J. MCCORMICK APRN
1399 S 700 E SUITE F-14
SALT LAKE CITY, UT 84105-2149
Phone number: 801-530-3725
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Mailing Address
Ms. THERESA J. MCCORMICK APRN
507 ANDERSON AVE
MURRAY, UT 84123-5722
Phone number: 801-685-2380
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