RUSSELL DAVIS

TOOELE, UT
NPI1982148581
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  4988445-4405)
Enumeration Date2016-12-15
Last Update Date2018-07-20
Business Address
RUSSELL DAVIS
1887 AARON DR STE B
TOOELE, UT 84074-8138
Phone number: 435-775-9969
Mailing Address
RUSSELL DAVIS
1887 N AARON DR SUITE B
TOOELE, UT 84074
Phone number: 435-775-9969
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