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1720341837
JOSE LUIS ESPARZA
SALT LAKE CITY, UT
NPI
1720341837
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5662869-4405)
Enumeration Date
2012-06-22
Last Update Date
2012-06-22
Business Address
Mr. JOSE LUIS ESPARZA FNP
461 S 400 E
SALT LAKE CITY, UT 84111-3302
Phone number: 801-539-8617
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Mailing Address
Mr. JOSE LUIS ESPARZA FNP
4427 S LAGO GRANDE DR
WEST VALLEY CITY, UT 84128-5632
Phone number: 801-967-1979
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