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Individual

MRS. CHARLEE K OLLERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4401 HARRISON BLVD, SOUTH OGDEN, UT 84403-3195
(801) 387-5518
Mailing address
4401 HARRISON BLVD, SOUTH OGDEN, UT 84403-3195
(801) 387-5518

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309515-4405
UT
363LP2300X
Primary Care Nurse Practitioner
309515-4405
UT

Other

Enumeration date
10/14/2014
Last updated
03/31/2020
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