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1710420617
KACIE LOFGRAN
SALT LAKE CITY, UT
NPI
1710420617
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Former Name
KACIE EGBERT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6998915-4405)
Enumeration Date
2016-11-23
Last Update Date
2016-12-19
Business Address
-- KACIE LOFGRAN FNP
1250 E 3900 S STE 260
SALT LAKE CITY, UT 84124-1371
Phone number: 801-265-2000
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Mailing Address
-- KACIE LOFGRAN FNP
1250 E 3900 S STE 260
SLC, UT 84124-1371
Phone number: 801-265-2000
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