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1780159269
JILL HENNINGFELD
SALT LAKE CITY, UT
NPI
1780159269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT AG10180058)
Enumeration Date
2018-10-10
Last Update Date
2018-10-10
Business Address
JILL HENNINGFELD
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
JILL HENNINGFELD
7692 S VILLAGE GLEN DR
WEST JORDAN, UT 84081-3607
Phone number: 775-934-7772
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