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Individual

AMANDA KLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
385 W 600 N, LINDON, UT 84042-1330
(801) 785-8825
Mailing address
385 W 600 N, LINDON, UT 84042-1330
(801) 785-8825

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8483307-4405
UT

Other

Enumeration date
12/01/2016
Last updated
12/01/2016
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