DALE V KELLER

SANDY, UT
NPI1477519882
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  2239484405)
Enumeration Date2006-04-25
Last Update Date2016-04-27
Business Address
-- DALE V KELLER APRN
12218 NICKLAUS RD
SANDY, UT 84092-5937
Phone number: 801-502-7386
Mailing Address
-- DALE V KELLER APRN
12218 NICKLAUS RD
SANDY, UT 84092-5937
Phone number: 801-502-7386
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