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1588716716
RAELYNN MCDOUGAL
TAYLORSVILLE, UT
NPI
1588716716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 194391-4405)
Enumeration Date
2007-01-17
Last Update Date
2007-10-16
Business Address
-- RAELYNN MCDOUGAL APRN
5770 S 1500 W
TAYLORSVILLE, UT 84123-5216
Phone number: 801-265-3109
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Mailing Address
-- RAELYNN MCDOUGAL APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-265-3109
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