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Individual

OLIVIA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1133 N MAIN ST, LAYTON, UT 84041-4800
(801) 513-5173
Mailing address
1960 W JAYDIN WAY UNIT 3, WEST HAVEN, UT 84401-1151
(801) 513-5173

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12094177-4405
UT

Other

Enumeration date
02/25/2026
Last updated
02/25/2026
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