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1891387858
CHAD G SPENCER
BLUFFDALE, UT
NPI
1891387858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT F12200933)
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
CHAD G SPENCER FNP-C
15215 S ROCKET DR
BLUFFDALE, UT 84065-4935
Phone number: 801-856-6414
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Mailing Address
CHAD G SPENCER FNP-C
15215 S ROCKET DR
BLUFFDALE, UT 84065-4935
Phone number: 801-856-6414
Copy
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