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Individual

MR. THOMAS MARK LOKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-5609
Mailing address
4024 PARKVIEW DR, SALT LAKE CITY, UT 84124-3419
(801) 272-6782

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
204008-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
204008-4405
APRN
UT
Enumeration date
07/06/2006
Last updated
07/08/2007
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