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1295346591
PATRICIA MYRUP AXTMAN
SALT LAKE CITY, UT
NPI
1295346591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 281313-4405)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
PATRICIA MYRUP AXTMAN APRN-BC
470 E 3900 S STE 200
SALT LAKE CITY, UT 84107-2332
Phone number: 801-747-2800
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Mailing Address
PATRICIA MYRUP AXTMAN APRN-BC
PO BOX 572431
SALT LAKE CITY, UT 84157-2431
Phone number: 801-840-0723
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