CHELISE BLACK

WEST JORDAN, UT
NPI1952811515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  5645223-4405)
Enumeration Date2017-10-09
Last Update Date2017-10-09
Business Address
CHELISE BLACK NP-C
3590 W 9000 S STE 240
WEST JORDAN, UT 84088-8864
Phone number: 801-964-3697
Mailing Address
CHELISE BLACK NP-C
3590 W 9000 S STE 240
WEST JORDAN, UT 84088-8864
Phone number: 801-964-3697
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