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Individual

ISAAC TAYLOR MUIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-4257
Mailing address
4683 LUXOR PARK, WEST VALLEY, UT 84120-1575
(801) 440-7607

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
7303340-3101
UT

Other

Enumeration date
11/22/2010
Last updated
11/22/2010
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