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1174916571
MELISSA WANSERSKI
SALT LAKE CITY, UT
NPI
1174916571
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 83480784405)
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
-- MELISSA WANSERSKI
2795 E KENTON DR
SALT LAKE CITY, UT 84109-2068
Phone number: 715-432-9211
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Mailing Address
-- MELISSA WANSERSKI
2795 E KENTON DR
SALT LAKE CITY, UT 84109-2068
Phone number: 715-432-9211
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