AUTUMN GRACE CABANISS

SALT LAKE CITY, UT
NPI1790403343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: UT  12355733-3130)
Enumeration Date2022-08-19
Last Update Date2022-08-19
Business Address
AUTUMN GRACE CABANISS LPN
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
Mailing Address
AUTUMN GRACE CABANISS LPN
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
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