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1396515342
RACHEL LACKOW
SALT LAKE CITY, UT
NPI
1396515342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 11932179-4405)
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
RACHEL LACKOW
425 E BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115-2362
Phone number: 801-468-6807
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Mailing Address
RACHEL LACKOW
1192 E DRAPER PKWY
DRAPER, UT 84020-9356
Phone number:
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