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Individual

CHLOE CORINNE CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
1137 E 6720 S APT 32, COTTONWOOD HEIGHTS, UT 84121-7223
(978) 732-8067

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
363LN0000X
Neonatal Nurse Practitioner
Primary
11121475-4405
UT

Other

Enumeration date
04/07/2023
Last updated
09/14/2023
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