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Individual

DONNA LARHESA CALLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
258 N 500 E, VERNAL, UT 84078-1816
(435) 790-4266
Mailing address
258 N 500 E, VERNAL, UT 84078-1816
(435) 790-4266

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5333566-4405
UT

Other

Enumeration date
06/16/2022
Last updated
06/16/2022
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