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1205613056
SOPHIA ELAINE PEREZ
KANAB, UT
NPI
1205613056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 10712354-4405)
Enumeration Date
2023-09-13
Last Update Date
2023-10-12
Business Address
SOPHIA ELAINE PEREZ FNP
355 N MAIN ST
KANAB, UT 84741-3260
Phone number: 435-644-4100
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Mailing Address
SOPHIA ELAINE PEREZ FNP
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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