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Individual

TAYLOR DENISE WIDENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
9722 SWEET BLOSSOM DR, SOUTH JORDAN, UT 84095-3216
(801) 897-6188
Mailing address
9722 SWEET BLOSSOM DR, SOUTH JORDAN, UT 84095-3216
(801) 897-6188

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8375449-4101
UT

Other

Enumeration date
07/30/2012
Last updated
07/30/2012
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