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1770255184
JESSICA COFFENDAFFER
WEST JORDAN, UT
NPI
1770255184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 11413946-4405)
Enumeration Date
2021-10-04
Last Update Date
2021-10-04
Business Address
JESSICA COFFENDAFFER FNP-C
2655 W 9000 S
WEST JORDAN, UT 84088-8542
Phone number: 801-256-6399
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Mailing Address
JESSICA COFFENDAFFER FNP-C
6862 S TRIUMPH LN
WEST JORDAN, UT 84084-5046
Phone number:
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