BERNARD M MUTIE

DRAPER, UT
NPI1396255360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: UT  79878114405)
Enumeration Date2017-10-04
Last Update Date2020-06-11
Business Address
BERNARD M MUTIE APRN
12433 S FORT ST
DRAPER, UT 84020-9363
Phone number: 801-576-1086
Mailing Address
BERNARD M MUTIE APRN
5505 S 900 E
HOLLADAY, UT 84117-7209
Phone number: 801-783-5011
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