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1013916915
BROOKANNE J MICKELSON
ST GEORGE, UT
NPI
1013916915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 222657-4405)
Enumeration Date
2005-07-21
Last Update Date
2022-02-15
Business Address
BROOKANNE J MICKELSON FNP-BC
301 N 200 E STE 2A
ST GEORGE, UT 84770-3040
Phone number: 435-688-7246
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Mailing Address
BROOKANNE J MICKELSON FNP-BC
PO BOX 912042
ST GEORGE, UT 84791-2042
Phone number: 435-656-2424
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