WAYNE R HEATON

PROVO, UT
NPI1083623862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  2168864405)
Enumeration Date2006-08-07
Last Update Date2013-08-19
Business Address
-- WAYNE R HEATON APRN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7380
Mailing Address
-- WAYNE R HEATON APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7380
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