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Individual

OLGA SAMBU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
375 S CHIPETA WAY, SLC, UT 84108-1260
(801) 581-7766
Mailing address
1055 N 500 W, ATT: CREDENTIALING, PROVO, UT 84604
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11932196-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/25/2018
Last updated
01/09/2021
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