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1487802914
TAVIA MATHERS
PROVO, UT
NPI
1487802914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 4738067-4408)
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
Mrs. TAVIA MATHERS A.P.R.N
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604-6685
Phone number: 801-374-9625
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Mailing Address
Mrs. TAVIA MATHERS A.P.R.N
3550 N UNIVERSITY AVE STE 250
PROVO, UT 84604-6685
Phone number: 801-374-9625
Copy
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