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1205005527
BEN B PEAY
PROVO, UT
NPI
1205005527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WD0400X Registered Nurse, Diabetes Educator
(Licence: UT 5000544-3102)
Enumeration Date
2008-02-21
Last Update Date
2008-02-21
Business Address
-- BEN B PEAY RN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7546
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Mailing Address
-- BEN B PEAY RN
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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