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Individual

SUSANNE STODDARD SOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, APRN, NP-C

Contact information

Practice address
1446 W PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-3216
(801) 785-5100
(801) 785-4597
Mailing address
1446 W PLEASANT GROVE BLVD, PLEASANT GROVE, UT 84062-3216
(801) 785-5100
(801) 785-4597

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6558262-4405
UT

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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