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1740695741
AMBER SULLY
LAYTON, UT
NPI
1740695741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: UT 9022621-3101)
Enumeration Date
2014-06-27
Last Update Date
2014-06-27
Business Address
-- AMBER SULLY LPN
2250 N 1700 W
LAYTON, UT 84041-1140
Phone number: 801-773-7060
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Mailing Address
-- AMBER SULLY LPN
2250 N 1700 W
LAYTON, UT 84041-1140
Phone number: 801-773-7060
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