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1225107428
SUSAN K. SANDERSON
SALT LAKE CITY, UT
NPI
1225107428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 196451-4405)
Enumeration Date
2006-11-06
Last Update Date
2013-12-02
Business Address
SUSAN K. SANDERSON
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-587-9244
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Mailing Address
SUSAN K. SANDERSON
PO BOX 413021
SALT LAKE CITY, UT 84141-3021
Phone number: 801-213-3900
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