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1548043029
KELLY CROSS IMLAY
CLINTON, UT
NPI
1548043029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 196456-4405)
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
Mrs. KELLY CROSS IMLAY APRN
1857 N 1000 W
CLINTON, UT 84015-8969
Phone number: 801-745-5794
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Mailing Address
Mrs. KELLY CROSS IMLAY APRN
1148 S 2450 W
SYRACUSE, UT 84075-7051
Phone number: 801-745-5794
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