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1326523358
TIMOTHY LYLE SELLERS
PROVO, UT
NPI
1326523358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 9186424-4405)
Enumeration Date
2018-09-25
Last Update Date
2023-03-07
Business Address
Mr. TIMOTHY LYLE SELLERS NP
395 W COUGAR BLVD STE 602
PROVO, UT 84604-3331
Phone number: 801-257-7250
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Mailing Address
Mr. TIMOTHY LYLE SELLERS NP
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-373-3300
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