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Individual
JANE L YORK
Active
Individual
JANE L YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
218049-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103003506102
SELECT HEALTH PROVIDER#
UT
01
—
55102
PEHP PROVIDER#
UT
01
—
73-00012
UNITED HEALTHCARE #
UT
05
—
998877660009
—
UT
05
—
PR00489
—
UT
01
—
QM0000039389
ALTIUS PROVIDER #
UT
Enumeration date
11/28/2006
Last updated
07/09/2007
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