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1104433606
AMY LYNN DALTON
PROVO, UT
NPI
1104433606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 10105657-4405)
Enumeration Date
2020-09-28
Last Update Date
2021-02-05
Business Address
AMY LYNN DALTON
1055 N 500 W BLDG A
PROVO, UT 84604-3305
Phone number: 801-812-5033
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Mailing Address
AMY LYNN DALTON
1055 N 500 W
PROVO, UT 84604-3305
Phone number: 801-354-8225
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