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1881719144
LAURIE ANN VONDERAHE
SALT LAKE CITY, UT
NPI
1881719144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: UT 198615-4405)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
Ms. LAURIE ANN VONDERAHE NNP
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2745
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Mailing Address
Ms. LAURIE ANN VONDERAHE NNP
1286 MORAY CT
PARK CITY, UT 84060-6901
Phone number: 435-647-5770
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