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1225664667
EMILY KAY DETTENMAIER
SANDY, UT
NPI
1225664667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 322496-4405)
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
EMILY KAY DETTENMAIER
850 E 9400 S STE 101
SANDY, UT 84094-4114
Phone number: 385-449-0565
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Mailing Address
EMILY KAY DETTENMAIER
1512 N 1285 W
OREM, UT 84057-6536
Phone number: 801-669-4467
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