DEVEN WILLARDSON

LOGAN, UT
NPI1376033456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  8510230-4405)
Enumeration Date2018-05-15
Last Update Date2019-03-26
Business Address
DEVEN WILLARDSON BSN, RN
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-716-2800
Mailing Address
DEVEN WILLARDSON BSN, RN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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