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Individual

CHELESE SOUTHWICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1112 FAWN DR, PLEASANT VIEW, UT 84414-1335
(801) 628-5475
Mailing address
1112 FAWN DR, PLEASANT VIEW, UT 84414-1335
(801) 628-5475

Taxonomy

Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
13975465-3102
UT

Other

Enumeration date
05/06/2026
Last updated
05/06/2026
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