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1710126966
CAROLYN M. LUCKETT
SALT LAKE CITY, UT
NPI
1710126966
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 220048-4405)
Enumeration Date
2009-02-11
Last Update Date
2022-07-21
Business Address
Ms. CAROLYN M. LUCKETT NP
2000 CIRCLE OF HOPE DR CLINIC 2D
SALT LAKE CITY, UT 84112-5550
Phone number: 801-585-0100
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Mailing Address
Ms. CAROLYN M. LUCKETT NP
127 S 500 E STE 600
SALT LAKE CITY, UT 84102-1971
Phone number: 801-587-6705
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