Individual
LAURA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 227-2320
Mailing address
151 N MAIN ST, TOOELE, UT 84074-2141
(435) 227-2320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9037754-3102
UT
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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