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1376914838
MORGAN GRACE ROSKELLEY
PROVO, UT
NPI
1376914838
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Former Name
MORGAN GRACE PRINGLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 11791838-1206)
Enumeration Date
2015-10-09
Last Update Date
2021-02-11
Business Address
MORGAN GRACE ROSKELLEY PA-C
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 530-320-0298
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Mailing Address
MORGAN GRACE ROSKELLEY PA-C
703 S. AMERICANA BLVD STE 120
BOISE, ID 83702
Phone number: 208-706-2663
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