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1164021721
MISTIE SUE MANNING
BOUNTIFUL, UT
NPI
1164021721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6926945-4405)
Enumeration Date
2020-10-23
Last Update Date
2020-10-23
Business Address
MISTIE SUE MANNING NP-C
1551 RENAISSANCE TOWNE DR STE 370
BOUNTIFUL, UT 84010-7675
Phone number: 801-747-7244
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Mailing Address
MISTIE SUE MANNING NP-C
1551 RENAISSANCE TOWNE DR STE 370
BOUNTIFUL, UT 84010-7675
Phone number: 801-747-7244
Copy
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