MARY WILSON BASSIS

SALT LAKE CITY, UT
NPI1215147046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  5207201-8900)
Enumeration Date2007-05-23
Last Update Date2007-07-12
Business Address
-- MARY WILSON BASSIS APRN, BC
2005 E 2700 S STE 180
SALT LAKE CITY, UT 84109-1759
Phone number: 801-746-7190
Mailing Address
-- MARY WILSON BASSIS APRN, BC
2285 COTTONWOOD CIR
HOLLADAY, UT 84117-7601
Phone number: 801-424-9108
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