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1073148458
AUTUMN ROSE TONC
PRICE, UT
NPI
1073148458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: UT 10411288-3101)
Enumeration Date
2020-03-06
Last Update Date
2020-03-06
Business Address
AUTUMN ROSE TONC LPN
575 E. 100 S.
PRICE, UT 84501
Phone number: 435-637-2358
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Mailing Address
AUTUMN ROSE TONC LPN
PO BOX 867
PRICE, UT 84501-0867
Phone number: 435-637-7200
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