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1437774403
MONIQUE HATHAWAY
ST GEORGE, UT
NPI
1437774403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13602984-1206)
Enumeration Date
2020-06-15
Last Update Date
2024-05-16
Business Address
MONIQUE HATHAWAY PA-C
736 S 900 E STE 203
ST GEORGE, UT 84790-7003
Phone number: 435-215-0490
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Mailing Address
MONIQUE HATHAWAY PA-C
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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