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1336413939
LANE BART CHRISTENSEN
OGDEN, UT
NPI
1336413939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 5911408-4405)
Enumeration Date
2012-02-28
Last Update Date
2021-06-01
Business Address
LANE BART CHRISTENSEN DNP
4650 HARRISON BLVD
OGDEN, UT 84403-4303
Phone number: 801-475-3021
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Mailing Address
LANE BART CHRISTENSEN DNP
3667 N 200 E
NORTH OGDEN, UT 84414-2626
Phone number: 801-391-0408
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