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1871031708
JOANNA RUTH KENNEDY
MIDVALE, UT
NPI
1871031708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 73008658900)
Enumeration Date
2017-02-12
Last Update Date
2017-02-12
Business Address
-- JOANNA RUTH KENNEDY
602 E FORT UNION BLVD
MIDVALE, UT 84047-2216
Phone number: 801-313-1010
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Mailing Address
-- JOANNA RUTH KENNEDY
602 E FORT UNION BLVD
MIDVALE, UT 84047-2216
Phone number: 801-313-1010
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