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Individual

HALEY MARIE HAMBLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-7673
Mailing address
1110 W 2600 N, LAYTON, UT 84041-5311
(801) 499-1487

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8628445-3102
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
942854057
UT
Enumeration date
08/11/2018
Last updated
08/11/2018
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