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1366184319
TODD ALLEN
PROVO, UT
NPI
1366184319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 54603994408)
Enumeration Date
2022-04-11
Last Update Date
2023-03-27
Business Address
TODD ALLEN PMHNP
3311 N UNIVERSITY AVE STE 200
PROVO, UT 84604-7421
Phone number: 385-504-1334
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Mailing Address
TODD ALLEN PMHNP
428 W HILLS DR
SARATOGA SPRINGS, UT 84045-3111
Phone number: 801-857-1314
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