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1316427404
STACY HIGLEY
SALT LAKE CITY, UT
NPI
1316427404
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 8396259-4405)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
STACY HIGLEY FNP
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
STACY HIGLEY FNP
6147 S 1375 E
SOUTH OGDEN, UT 84405-6752
Phone number: 801-682-9859
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