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Individual

SARAH WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13117880-4901
UT

Other

Enumeration date
11/29/2022
Last updated
10/18/2024
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