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1568828002
TENZIN KUNSANG PHUNRAB
SALT LAKE CITY, UT
NPI
1568828002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 49904144405)
Enumeration Date
2016-01-13
Last Update Date
2021-11-11
Business Address
TENZIN KUNSANG PHUNRAB APRN
1950 CIRCLE OF HOPE CLINIC 2B
SALT LAKE CITY, UT 84112-5550
Phone number: 801-585-0100
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Mailing Address
TENZIN KUNSANG PHUNRAB APRN
127 SO. 500 EAST #600
SALT LAKE CITY, UT 84102-1971
Phone number: 801-587-6705
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