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1952146292
CARLA M TANG
SLC, UT
NPI
1952146292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 379255-8900)
Enumeration Date
2024-06-27
Last Update Date
2024-07-15
Business Address
CARLA M TANG PMHNP-BC
501 S CHIPETA WAY
SLC, UT 84108-1222
Phone number: 801-916-1576
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Mailing Address
CARLA M TANG PMHNP-BC
2935 W HAZELNUT CIR
TAYLORSVILLE, UT 84129-2431
Phone number: 801-916-1576
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