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Individual

REBEKAH DOLLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
409 W 400 S, SALT LAKE CITY, UT 84101-1135
(801) 364-0058
Mailing address
409 W 400 S, SLC, UT 84101-1135

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
11410180-3102
UT
363L00000X
Nurse Practitioner
Primary
11410180-4405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11410180-3102
UT
Enumeration date
06/15/2022
Last updated
09/24/2025
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