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1023511961
TYSON SCHWAB
PROVO, UT
NPI
1023511961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 7057658-1205)
Enumeration Date
2018-03-16
Last Update Date
2021-11-18
Business Address
TYSON SCHWAB
395 W BULLDOG BLVD STE 205
PROVO, UT 84604-3328
Phone number: 801-357-1770
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Mailing Address
TYSON SCHWAB
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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