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1710394291
VANESSA GONZALEZ
SALT LAKE CITY, UT
NPI
1710394291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5849552-4405)
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
-- VANESSA GONZALEZ
1639 E SAINT JAMES PL
SALT LAKE CITY, UT 84121-1246
Phone number: 801-928-3618
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Mailing Address
-- VANESSA GONZALEZ
1639 E SAINT JAMES PL
SALT LAKE CITY, UT 84121-1246
Phone number:
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