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Individual

LOVENIA M STAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4401 HARRISON BLVD, OGDEN, UT 84403
(801) 387-7074
Mailing address
3034 N 1375 E, NORTH OGDEN, UT 84414
(801) 737-2378

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2247694405
UT

Other

Enumeration date
07/17/2006
Last updated
10/17/2007
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