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1376569798
RENA HOLVERSON
SALT LAKE CITY, UT
NPI
1376569798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 2022784405)
Enumeration Date
2006-07-15
Last Update Date
2017-01-23
Business Address
-- RENA HOLVERSON APRN
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-1100
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Mailing Address
-- RENA HOLVERSON APRN
401 S 400 E
BOUNTIFUL, UT 84010-4933
Phone number: 801-408-1100
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