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1356809099
MELISSA SQUIRE
OREM, UT
NPI
1356809099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: UT 10654460-3101)
Enumeration Date
2019-03-12
Last Update Date
2019-03-12
Business Address
MELISSA SQUIRE
714 S STATE ST
OREM, UT 84058-6366
Phone number: 801-666-4792
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Mailing Address
MELISSA SQUIRE
47 N 870 E
AMERICAN FORK, UT 84003-2965
Phone number: 801-471-3488
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