CHRISTOPHER BLACK

DRAPER, UT
NPI1790413359
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  9152128-4405)
Enumeration Date2022-08-11
Last Update Date2022-08-11
Business Address
CHRISTOPHER BLACK APRN
13020 S FORT ST
DRAPER, UT 84020-9294
Phone number: 801-361-2225
Mailing Address
CHRISTOPHER BLACK APRN
1072 E 920 N
OREM, UT 84097-4327
Phone number: 801-361-2255
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