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1255351409
SUSAN K CHURCHILL
SALT LAKE CITY, UT
NPI
1255351409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 2147004405)
Enumeration Date
2006-07-20
Last Update Date
2008-03-18
Business Address
-- SUSAN K CHURCHILL APRN
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-3623
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Mailing Address
-- SUSAN K CHURCHILL APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-3623
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