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Organization

ADULT CARE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GITANJALI SHARMA ACNP (OWNER)
(801) 318-2624
Entity
Organization

Contact information

Practice address
3920 S 1100 E STE 250, SALT LAKE CITY, UT 84124-1213
(801) 308-8400
(801) 349-2849
Mailing address
3920 S 1100 E STE 250, SALT LAKE CITY, UT 84124-1213
(801) 308-8400
(801) 349-2849

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5660172-4405
UT

Other

Enumeration date
12/23/2014
Last updated
03/14/2016
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