1174707418

Everything you always wanted to know about SHARPTON N LARAINE RN but were afraid to ask.

SHARPTON N LARAINE RN

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
SHARPTON N LARAINE RN
Gender:
Female
Enumeration date:
2007-12-21
Last update date:
2013-11-18
Current as of:
2007-08-28
Is sole proprietor?:
No
Is organization subpart?:
Not Answered
In PECOS?:
No
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Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
163WP0809X Psychiatric/Mental Health, Adult UT 1896023102

Phone Numbers

Type Number
Mailing Address Telephone Number 8015658245
Practice Location Address Telephone Number 8015658245

Addresses

Type Address City State Postal Country
Mailing Address 6953 S 800 E MIDVALE UT 84047 UT
Practice Location Address 6953 S 800 E MIDVALE UT 84047 UT