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Individual

MRS. THERESA KAREN DELIKAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6822E 1000S, FORT DUCHESNE, UT 84026-0160
(435) 828-5218
Mailing address
6395E 2000N, P.O.BOX 714, FORT DUCHESNE, UT 84026
(435) 725-6839

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
6036243-3102
UT

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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