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1265002844
TERA LUANE JIMENEZ
OGDEN, UT
NPI
1265002844
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Former Name
TERA LUANE KENNEDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: UT 119097543101)
Enumeration Date
2021-06-28
Last Update Date
2021-06-28
Business Address
Mrs. TERA LUANE JIMENEZ LPN
2557 LINCOLN AVE
OGDEN, UT 84401-1307
Phone number: 801-622-5272
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Mailing Address
Mrs. TERA LUANE JIMENEZ LPN
2557 LINCOLN AVE
OGDEN, UT 84401-1307
Phone number:
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