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Individual

KEARSTA KAYLEEN WASHBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
835 E 4800 S STE 230, MURRAY, UT 84107-5535
(801) 716-7008
Mailing address
378 S 400 W, TOOELE, UT 84074-2620
(801) 673-5756

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6224506-4405
UT

Other

Enumeration date
07/04/2018
Last updated
07/04/2018
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