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1205507951
MELISSA KEITH
PAYSON, UT
NPI
1205507951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 281902-4405)
Enumeration Date
2021-09-22
Last Update Date
2021-09-22
Business Address
MELISSA KEITH
97 PROFESSIONAL WAY STE 2
PAYSON, UT 84651-1680
Phone number: 801-465-4896
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Mailing Address
MELISSA KEITH
1055 N 500 W ATT CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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