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1245671247
MARY JO GRANT
SLC, UT
NPI
1245671247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT 218983-4405)
Enumeration Date
2013-07-08
Last Update Date
2013-07-08
Business Address
-- MARY JO GRANT APRN
100 MARIO CAPECCHI DR
SLC, UT 84113-1103
Phone number: 801-662-2442
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Mailing Address
-- MARY JO GRANT APRN
100 MARIO CAPECCHI DR
SLC, UT 84113-1103
Phone number: 801-662-2442
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