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MRS. GRACE BELLISTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
982 CHAMBERS ST, OGDEN, UT 84403-4571
(801) 479-4105
Mailing address
982 CHAMBERS ST, OGDEN, UT 84403-4571

Taxonomy

Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
223913-4405
UT

Other

Enumeration date
07/12/2008
Last updated
07/12/2008
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