MICHELLE LORRAINE TEASDALE

SOUTH SALT LAKE, UT
NPI1871164426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  5906820-4405)
Enumeration Date2021-07-06
Last Update Date2021-07-06
Business Address
MICHELLE LORRAINE TEASDALE
3415 S 900 W
SOUTH SALT LAKE, UT 84119-4103
Phone number: 385-468-8400
Mailing Address
MICHELLE LORRAINE TEASDALE
4393 N SHADY HOLLOW LOOP
LEHI, UT 84043-2343
Phone number: 801-349-6249
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