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1962949586
GINA WHITEHEAD
SALT LAKE CITY, UT
NPI
1962949586
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT 217093-4403)
Enumeration Date
2017-01-20
Last Update Date
2022-05-05
Business Address
GINA WHITEHEAD A.P.R.N.
10 SOUTH 2000 EAST
SALT LAKE CITY, UT 84112
Phone number: 801-585-9346
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Mailing Address
GINA WHITEHEAD A.P.R.N.
6108 SHARON CIR
OGDEN, UT 84403-5008
Phone number: 801-391-9574
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