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1215902309
MARSHA K MEDFORD
PROVO, UT
NPI
1215902309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 5376965-4405)
Enumeration Date
2006-02-22
Last Update Date
2007-07-08
Business Address
-- MARSHA K MEDFORD APRN
1165 E 300 N WASATCH MENTAL HEALTH, YOUTH OUTPATIENT
PROVO, UT 84606-3539
Phone number: 801-377-1213
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Mailing Address
-- MARSHA K MEDFORD APRN
259 S 500 E
PROVO, UT 84606-4731
Phone number: 801-377-1213
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