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1902112600
CECILY LIGHT
SALT LAKE CITY, UT
NPI
1902112600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: UT 2205194405)
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
-- CECILY LIGHT APRN
1167 BRYAN AVE
SALT LAKE CITY, UT 84105-2507
Phone number: 801-486-0567
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Mailing Address
-- CECILY LIGHT APRN
1167 BRYAN AVE
SALT LAKE CITY, UT 84105-2507
Phone number: 801-486-0567
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