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1215392287
CHAD DORMAN DANSIE
SALT LAKE CITY, UT
NPI
1215392287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 7741509-4405)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
-- CHAD DORMAN DANSIE NNP
200 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-662-4100
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Mailing Address
-- CHAD DORMAN DANSIE NNP
6744 W MALISSA ANN DR
HERRIMAN, UT 84096-6957
Phone number: 801-446-2681
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