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1588498943
NICHOLAS BLAINE EDMAN
MURRAY, UT
NPI
1588498943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT 9406183-4405)
Enumeration Date
2024-08-28
Last Update Date
2024-10-11
Business Address
NICHOLAS BLAINE EDMAN AGACNP
5169 S COTTONWOOD ST STE 510
MURRAY, UT 84107-6767
Phone number: 801-507-3513
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Mailing Address
NICHOLAS BLAINE EDMAN AGACNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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