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1215376587
CARLOS A VASQUEZ
WEST JORDAN, UT
NPI
1215376587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6261157-8900)
Enumeration Date
2013-06-20
Last Update Date
2013-06-20
Business Address
-- CARLOS A VASQUEZ FNP
6248 S CLERNATES DR
WEST JORDAN, UT 84081-3831
Phone number: 480-282-3358
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Mailing Address
-- CARLOS A VASQUEZ FNP
6248 S CLERNATES DR
WEST JORDAN, UT 84081-3831
Phone number: 480-282-3358
Copy
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