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1104884253
JUDITH A BERRY
PROVO, UT
NPI
1104884253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 285456-4405)
Enumeration Date
2006-05-01
Last Update Date
2007-07-08
Business Address
Mrs. JUDITH A BERRY FNP
150 E CENTER ST SUITE 1100
PROVO, UT 84606-3700
Phone number: 801-374-7011
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Mailing Address
Mrs. JUDITH A BERRY FNP
150 E CENTER ST SUITE 1100
PROVO, UT 84606-3700
Phone number: 801-374-7011
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