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1306073671
MICHAEL CORNEL THOMAS
MURRAY, UT
NPI
1306073671
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 56467954405)
Enumeration Date
2009-06-15
Last Update Date
2013-01-18
Business Address
-- MICHAEL CORNEL THOMAS APRN
3944 S 400 E
MURRAY, UT 84107-1600
Phone number: 801-261-1442
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Mailing Address
-- MICHAEL CORNEL THOMAS APRN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-7380
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