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1225064124
HEIDI PORTER
PROVO, UT
NPI
1225064124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 294278-4405)
Enumeration Date
2006-06-23
Last Update Date
2007-10-17
Business Address
-- HEIDI PORTER NP
1055 N 500 W SUITE 222
PROVO, UT 84604-3305
Phone number: 801-377-4623
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Mailing Address
-- HEIDI PORTER NP
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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