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1346817061
STAYCHA LEE
ST GEORGE, UT
NPI
1346817061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 5954240-4405)
Enumeration Date
2021-06-10
Last Update Date
2023-12-28
Business Address
STAYCHA LEE NP
2825 E MALL DR
ST GEORGE, UT 84790-1954
Phone number: 435-673-6131
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Mailing Address
STAYCHA LEE NP
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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