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MRS. SUSAN WELLS PACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
724 EAST 2100 SOUTH, SUITE B, SALT LAKE CITY, UT 84106
(801) 487-0499
Mailing address
724 E 2100 S, SUITE B, SALT LAKE CITY, UT 84106-1830
(801) 487-0499

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/07/2013
Last updated
09/18/2013
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