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1952318651
SALLY J BRUSH
SALT LAKE CITY, UT
NPI
1952318651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 0853054405)
Enumeration Date
2006-08-02
Last Update Date
2010-11-17
Business Address
-- SALLY J BRUSH APRN
400 C ST
SALT LAKE CITY, UT 84143-1005
Phone number: 801-408-5319
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Mailing Address
-- SALLY J BRUSH APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-408-5319
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