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1265050660
DANA MICHELLE ROACH
EAGLE MOUNTAIN, UT
NPI
1265050660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: UT 343107-4405)
Enumeration Date
2020-07-12
Last Update Date
2022-07-20
Business Address
Ms. DANA MICHELLE ROACH FNP
3435 E PONY EXPRESS PKWY STE 104
EAGLE MOUNTAIN, UT 84005-5515
Phone number: 801-789-2444
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Mailing Address
Ms. DANA MICHELLE ROACH FNP
280 S MAIN ST
BOUNTIFUL, UT 84010-6236
Phone number: 801-505-0821
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