CATHERINE R BLACK

PROVO, UT
NPI1366623191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  198805-4405)
Enumeration Date2007-11-20
Last Update Date2014-03-21
Business Address
-- CATHERINE R BLACK
280 RIVER PARK DR SUITE 200
PROVO, UT 84604-5764
Phone number: 801-223-4860
Mailing Address
-- CATHERINE R BLACK
280 RIVER PARK DR #200
PROVO, UT 84604-5764
Phone number: 801-223-4860
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