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1629226808
GWEN LATENDRESSE
SALT LAKE CITY, UT
NPI
1629226808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: UT 95-216631-4402)
Enumeration Date
2008-08-30
Last Update Date
2008-08-30
Business Address
Dr. GWEN LATENDRESSE CNM, PhD
10 S 2000 E ROOM 448
SALT LAKE CITY, UT 84112-5880
Phone number: 801-587-9636
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Mailing Address
Dr. GWEN LATENDRESSE CNM, PhD
10 S 2000 E ROOM 448
SALT LAKE CITY, UT 84112-5880
Phone number: 801-587-9636
Copy
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