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Individual

SANDRA JODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 KEARNS BLVD STE E125, PARK CITY, UT 84060-7576
(801) 347-9651
Mailing address
PO BOX 983031, PARK CITY, UT 84098-3031
(801) 347-9651

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4863595-4405
UT

Other

Enumeration date
09/13/2024
Last updated
09/13/2024
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