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Individual

CHRIS LUCYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN

Contact information

Practice address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-2370
Mailing address
51 W 3900 S, SALT LAKE CITY, UT 84107-1431
(801) 587-2370

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8947554-3102
UT

Other

Enumeration date
05/06/2014
Last updated
05/06/2014
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