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1104859149
HEATHER B ALLRED
PROVIDENCE, UT
NPI
1104859149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 5536681-1206)
Enumeration Date
2006-07-09
Last Update Date
2023-03-14
Business Address
HEATHER B ALLRED PA-C
517 W 100 N STE 103
PROVIDENCE, UT 84332-9824
Phone number: 435-554-8442
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Mailing Address
HEATHER B ALLRED PA-C
3240 N 1800 E
LOGAN, UT 84341-8312
Phone number: 801-201-9151
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