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Individual

MRS. SANDRA B WAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
520 MEDICAL DR, 210, BOUNTIFUL, UT 84010-4968
(801) 298-9155
Mailing address
1318 REBECCA CIR, SALT LAKE CITY, UT 84117-5863
(801) 272-7433

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210069-4405
UT

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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