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Individual

KAREN RUTH ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
8540 S 100 E, SANDY, UT 84070-1582
(385) 900-6073
Mailing address
8540 S 100 E, SANDY, UT 84070-1582
(385) 900-6073

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
191283-3101
UT

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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