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Ifan Poulsen
NPI 1225674872 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6910 S Highland Dr Ste 1
Cottonwood Heights, UT 84121 - Phone
- (801) 935-4171
- Clinicians at this address
- 255
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 106E00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah