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Individual

MR. GERALD WAYNE DEARING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, CFNP

Contact information

Practice address
2822 W 8750 S, WEST JORDAN, UT 84088-9605
(801) 201-8229
(801) 561-7477
Mailing address
2822 W 8750 S, WEST JORDAN, UT 84088-9605
(801) 201-8229
(801) 561-7477

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
195306-8900
UT

Other

Enumeration date
06/08/2010
Last updated
06/08/2010
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