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1487119491
JENNIFER MELINDA MELCOMIAN
SANDY, UT
NPI
1487119491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5349909-4405)
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
JENNIFER MELINDA MELCOMIAN
9980 S 300 W
SANDY, UT 84070-3627
Phone number: 801-438-3185
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Mailing Address
JENNIFER MELINDA MELCOMIAN
9980 S 300 W STE 105
SANDY, UT 84070-3641
Phone number:
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