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1093387730
KYLE J HIGGINSON
LOGAN, UT
NPI
1093387730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 8886159-4405)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
Mr. KYLE J HIGGINSON AG-ACNP-BC
939 US-89 #1
LOGAN, UT 84321
Phone number: 801-669-3534
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Mailing Address
Mr. KYLE J HIGGINSON AG-ACNP-BC
1288 N CEDAR BLVD UNIT 26
CEDAR CITY, UT 84721-8621
Phone number: 801-669-3534
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