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Individual

ALLISON GRACE CIRENZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1717
Mailing address
613 E FORT UNION BLVD STE 104, MIDVALE, UT 84047-5531
(801) 984-1717
(801) 984-1717

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11595269-3102
UT

Other

Enumeration date
04/04/2024
Last updated
04/04/2024
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