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1205867553
PAULA G THACKER
WEST VALLEY CITY, UT
NPI
1205867553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: UT 2132644402)
Enumeration Date
2006-07-05
Last Update Date
2009-03-18
Business Address
-- PAULA G THACKER CNM
3725 W 4100 SOUTH
WEST VALLEY CITY, UT 84120
Phone number: 801-965-3600
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Mailing Address
-- PAULA G THACKER CNM
3725 W 4100 SOUTH
WEST VALLEY CITY, UT 84120
Phone number: 801-965-3600
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