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1861476939
LANCE CHARLES DELANGE
LOGAN, UT
NPI
1861476939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 3265324405)
Enumeration Date
2005-12-02
Last Update Date
2016-06-08
Business Address
Mr. LANCE CHARLES DELANGE FNP
2310 N 400 E STE A
LOGAN, UT 84341-1788
Phone number: 435-787-2000
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Mailing Address
Mr. LANCE CHARLES DELANGE FNP
2310 N 400 E STE A
LOGAN, UT 84341-1788
Phone number: 435-787-2000
Copy
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