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1285927079
MELANIE JOHNSTON HENDERSON
PROVO, UT
NPI
1285927079
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SN0000X Clinical Nurse Specialist, Neonatal
(Licence: UT 4926543-4405)
Enumeration Date
2011-05-26
Last Update Date
2018-01-11
Business Address
MELANIE JOHNSTON HENDERSON NNP
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7707
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Mailing Address
MELANIE JOHNSTON HENDERSON NNP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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