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1225129976
TERI LYNN
PROVO, UT
NPI
1225129976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 266211-1206)
Enumeration Date
2006-09-27
Last Update Date
2018-11-13
Business Address
TERI LYNN PA
1055 N 500 W SUITE 101
PROVO, UT 84604
Phone number: 801-373-4366
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Mailing Address
TERI LYNN PA
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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