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Joene Nicolaisen

NPI 1417052515 · on the registry since 2006 · sole proprietor

Practice

Address
6526 S State St
404
Murray, UT 84107
Phone
(801) 313-6814
Organisation at this address
Sego Lily Center For The Abused Deaf
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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