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1184763203
GAIL LYNN PRUDEN
SALT LAKE CITY, UT
NPI
1184763203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: UT 202594-4405)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mrs. GAIL LYNN PRUDEN NNP
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2745
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Mailing Address
Mrs. GAIL LYNN PRUDEN NNP
2549 DOLPHIN WAY
SALT LAKE CITY, UT 84121-5609
Phone number: 801-453-0654
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