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1174134894
SUZETTE KIMBALL
PROVO, UT
NPI
1174134894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: UT 6978231-3102)
Enumeration Date
2020-08-14
Last Update Date
2020-08-14
Business Address
SUZETTE KIMBALL RN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
SUZETTE KIMBALL RN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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