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1184099764
ANGELA CHAMBERLAIN
PROVO, UT
NPI
1184099764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 3626694405)
Enumeration Date
2015-12-07
Last Update Date
2021-11-12
Business Address
ANGELA CHAMBERLAIN NP-C
1055 N 500 W STE 202
PROVO, UT 84604-3305
Phone number: 801-374-2367
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Mailing Address
ANGELA CHAMBERLAIN NP-C
1055 NORTH 500 WEST ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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