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Individual

MS. SONJA J BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
451 BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
(801) 487-1112
Mailing address
PO BOX 17963, SALT LAKE CITY, UT 84117-0963
(801) 674-6376

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277543-4405
UT

Other

Enumeration date
10/01/2006
Last updated
10/21/2021
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