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Individual

THERESA FURBISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5373 S GREEN ST STE 400, SALT LAKE CITY, UT 84123-4740
(833) 442-2670
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
316406-4405
UT

Other

Enumeration date
11/03/2020
Last updated
10/27/2023
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