LAURIE MELISSA CENTENO

PROVO, UT
NPI1093088445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  8099494-1206)
Enumeration Date2012-02-15
Last Update Date2016-08-22
Business Address
-- LAURIE MELISSA CENTENO PAC
1157 N 300 W STE 201
PROVO, UT 84604-6124
Phone number: 801-357-1200
Mailing Address
-- LAURIE MELISSA CENTENO PAC
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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