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MS. PEGGY B VAN DAM

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
195 W 7200 S, MIDVALE, UT 84047-3703
(801) 565-6998
(801) 565-6982
Mailing address
618 W 3560 N, ERDA, UT 84074-9358
(435) 833-0257
(435) 833-0391

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
208288-3102
UT

Other

Enumeration date
01/19/2006
Last updated
07/08/2007
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