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1730953993
GENNY MOON
SALT LAKE CITY, UT
NPI
1730953993
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: UT 6800723-3102)
Enumeration Date
2023-11-08
Last Update Date
2023-11-08
Business Address
GENNY MOON RN
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104-5112
Phone number: 801-363-9414
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Mailing Address
GENNY MOON RN
1875 S REDWOOD RD
SALT LAKE CITY, UT 84104-5112
Phone number: 385-707-3159
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