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1841844057
MAYRA IBETH VENCES
SALT LAKE CITY, UT
NPI
1841844057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 82272178-4405)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
MAYRA IBETH VENCES NP-C
1146 N ANTILLES DR
SALT LAKE CITY, UT 84116-4656
Phone number: 801-673-8082
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Mailing Address
MAYRA IBETH VENCES NP-C
1146 N ANTILLES DR
SALT LAKE CITY, UT 84116-4656
Phone number: 801-673-8082
Copy
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