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1245721737
AMANDA MICHELLE LEGG
SAINT GEORGE, UT
NPI
1245721737
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Former Name
AMANDA HOLDEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 8680360-4405)
Enumeration Date
2018-05-21
Last Update Date
2018-05-21
Business Address
AMANDA MICHELLE LEGG
1380 E MEDICAL CENTER DRIVE SUITE 4100
SAINT GEORGE, UT 84790
Phone number: 435-251-2900
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Mailing Address
AMANDA MICHELLE LEGG
1055 N 500 W ATTN: CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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