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1265298996
SAMUEL BARCO
WEST VALLEY CITY, UT
NPI
1265298996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 10388828-4405)
Enumeration Date
2024-02-21
Last Update Date
2024-02-21
Business Address
SAMUEL BARCO DNP
3535 S MARKET ST
WEST VALLEY CITY, UT 84119-3635
Phone number: 385-430-1430
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Mailing Address
SAMUEL BARCO DNP
1652 E PRINCETON AVE
SALT LAKE CITY, UT 84105-1738
Phone number: 541-601-9030
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