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Individual

MRS. JOLYNNE MARIE LUCERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1020 S MAIN ST, SALT LAKE CITY, UT 84101-3176
(801) 539-7000
Mailing address
3725 W 4100 S STE 201, WEST VALLEY CITY, UT 84120-5427
(801) 263-7100

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
F23-108380
UT

Other

Enumeration date
03/01/2011
Last updated
04/29/2024
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