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1902877459
KATHRYN LOUISE DERRICK
SALT LAKE CITY, UT
NPI
1902877459
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Other Name
KATHY DERRICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: UT 3141673102)
Enumeration Date
2006-01-31
Last Update Date
2007-07-08
Business Address
Ms. KATHRYN LOUISE DERRICK RN
4460 HIGHLAND DR #300
SALT LAKE CITY, UT 84124-3543
Phone number: 801-273-6326
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Mailing Address
Ms. KATHRYN LOUISE DERRICK RN
8114 S 2470 W
WEST JORDAN, UT 84088-7662
Phone number: 801-233-0518
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