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1750850137
ALEXANDER SEBASTIAN DIAMOND
OGDEN, UT
NPI
1750850137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 8544419-4405)
Enumeration Date
2018-11-15
Last Update Date
2021-09-08
Business Address
ALEXANDER SEBASTIAN DIAMOND RN
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
ALEXANDER SEBASTIAN DIAMOND RN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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