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1386972875
LACEY MILLER EDEN
SPANISH FORK, UT
NPI
1386972875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5034879-4405)
Enumeration Date
2009-11-23
Last Update Date
2017-09-12
Business Address
-- LACEY MILLER EDEN FNP
415 N MAIN ST
SPANISH FORK, UT 84660-1439
Phone number: 801-798-9700
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Mailing Address
-- LACEY MILLER EDEN FNP
415 N MAIN ST
SPANISH FORK, UT 84660-1439
Phone number: 801-798-9700
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