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1205220357
CARLY BENCH
SALT LAKE CITY, UT
NPI
1205220357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 8581404-4405)
Enumeration Date
2015-03-26
Last Update Date
2019-01-22
Business Address
CARLY BENCH
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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Mailing Address
CARLY BENCH
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number:
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