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Individual

LIN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5383 S 900 E STE 103, MURRAY, UT 84117-7266
(801) 872-5516
Mailing address
5383 S 900 E STE 103, MURRAY, UT 84117-7266

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11837302-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60944162
WA

Other

Enumeration date
03/26/2019
Last updated
06/22/2021
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