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1568080661
DAYNE TATTERSALL
SALT LAKE CITY, UT
NPI
1568080661
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: UT 8588367-4405)
Enumeration Date
2020-07-06
Last Update Date
2023-04-13
Business Address
DAYNE TATTERSALL FNP-C
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-8524
Phone number: 801-584-1205
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Mailing Address
DAYNE TATTERSALL FNP-C
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-718-6324
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