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1467617084
KRISTEN BOLKE
SALT LAKE CITY, UT
NPI
1467617084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5922494-4405)
Enumeration Date
2008-07-23
Last Update Date
2008-07-23
Business Address
-- KRISTEN BOLKE N.P.
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-585-6393
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Mailing Address
-- KRISTEN BOLKE N.P.
2107 E 3300 S APT D
SALT LAKE CITY, UT 84109-4401
Phone number: 801-178-7371
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