Whitnie Blake Boulton

NPI #1083267272 in Murray, Utah

Provider Information

NPI Number: 1083267272
Entity Type: Individual
Name: Whitnie Blake Boulton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 17, 2019
Last Updated: Jul 17, 2019

Practice Location

Address: 716 E 4500 S STE N160
City: Murray
State: Utah
ZIP Code: 84107-3617
Phone: (801) 281-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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