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1801801691
KAYDON B LUSTY
SALT LAKE CITY, UT
NPI
1801801691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
176B00000X Midwife
(Licence: UT 195359-4402)
Enumeration Date
2006-07-30
Last Update Date
2007-07-08
Business Address
-- KAYDON B LUSTY CNM
1151 E 3900 S SUITE B-299
SALT LAKE CITY, UT 84124-1216
Phone number: 801-268-6811
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Mailing Address
-- KAYDON B LUSTY CNM
1151 E 3900 S SUITE B-299
SALT LAKE CITY, UT 84124-1216
Phone number: 801-268-6811
Copy
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