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1285385229
MATTHEW RAY PICKUP
SALT LAKE CITY, UT
NPI
1285385229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: UT 8659807-8901)
Enumeration Date
2022-01-11
Last Update Date
2022-01-11
Business Address
MATTHEW RAY PICKUP APRN - CRNA
1050 E SOUTH TEMPLE
SALT LAKE CITY, UT 84102-1507
Phone number: 801-750-2888
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Mailing Address
MATTHEW RAY PICKUP APRN - CRNA
311 E 1700 S
SALT LAKE CITY, UT 84115-1729
Phone number: 801-750-2888
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