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1265869721
BETHANY APRIL FLACK
SALT LAKE CITY, UT
NPI
1265869721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner Neonatal, Critical Care
(Licence: UT 325575-4405)
Enumeration Date
2013-09-30
Last Update Date
2013-09-30
Business Address
BETHANY APRIL FLACK APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2747
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Mailing Address
BETHANY APRIL FLACK APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2747
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