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Individual

MR. DENNIS R RICE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
2472 S 300 E, SALT LAKE CITY, UT 84115-2895
(801) 415-7426
Mailing address
328 2ND AVE, APT #3, SALT LAKE CITY, UT 84103-2627
(801) 521-6039

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
166218-3101
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107029324101
INTERMOUNTAIN HEALTH CARE
UT
Enumeration date
12/09/2005
Last updated
07/08/2007
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