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1881360295
AMIRA DERVISEVIC
SALT LAKE CITY, UT
NPI
1881360295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: UT 7800211-3102)
Enumeration Date
2021-08-17
Last Update Date
2021-12-20
Business Address
AMIRA DERVISEVIC
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3270
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Mailing Address
AMIRA DERVISEVIC
6239 W DINSMORE WAY
WEST JORDAN, UT 84081-4129
Phone number: 801-815-5125
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