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1962922609
LARA HAYNES
SALT LAKE CITY, UT
NPI
1962922609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 8672861-8900)
Enumeration Date
2017-06-23
Last Update Date
2021-11-03
Business Address
LARA HAYNES DNP
30 N 1900 E # 1C441
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-7985
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Mailing Address
LARA HAYNES DNP
1926 S IMPERIAL ST
SALT LAKE CITY, UT 84105-3819
Phone number: 435-602-9116
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