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Individual

MRS. KARINE JULIE HACHON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
630 MEDICAL DR, BOUNTIFUL, UT 84010-4908
(216) 926-4387
Mailing address
2223 S 400 E, BOUNTIFUL, UT 84010-5648
(216) 926-4387

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6912553-4406
UT
367500000X
Certified Registered Nurse Anesthetist
ARNP 9299524
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201192380
IN
01
P01278529
RAILROAD MEDICARE
KY
Enumeration date
07/17/2013
Last updated
10/08/2016
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