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1174379820
TRACY LAVELLE
SALT LAKE CITY, UT
NPI
1174379820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: UT 13029077-3102)
Enumeration Date
2024-04-24
Last Update Date
2024-04-24
Business Address
TRACY LAVELLE
1020 S MAIN ST
SALT LAKE CITY, UT 84101-3176
Phone number: 801-273-6366
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Mailing Address
TRACY LAVELLE
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5427
Phone number:
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