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1790797959
STACEY BANK
SALT LAKE CITY, UT
NPI
1790797959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 5391997-1205)
Enumeration Date
2006-08-13
Last Update Date
2021-10-19
Business Address
STACEY BANK
4465 S 900 E SUITE 200
SALT LAKE CITY, UT 84124-2456
Phone number: 801-266-2777
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Mailing Address
STACEY BANK
4465 S 900 E SUITE 200
SALT LAKE CITY, UT 84124-2456
Phone number: 801-266-2777
Copy
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