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1518218577
TRACY D. NICHOLS
SALT LAKE CITY, UT
NPI
1518218577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT 217015-8900)
Enumeration Date
2012-09-30
Last Update Date
2014-03-09
Business Address
Mrs. TRACY D. NICHOLS MSN CPNP
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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Mailing Address
Mrs. TRACY D. NICHOLS MSN CPNP
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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