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1235803727
RISE PEDIATRICS PLLC
PROVO, UT
NPI
1235803727
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Entity Type
Organization
Authorized Contact
SARAH HOMER
Manager
801-930-0776
Organization Subpart ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
RISE PEDIATRICS PLLC
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601-5648
Phone number: 801-930-0776
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Mailing Address
RISE PEDIATRICS PLLC
180 N UNIVERSITY AVE STE 270
PROVO, UT 84601-5648
Phone number: 801-930-0776
Copy
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