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1487925012
MARYBETH WILSON
LOGAN, UT
NPI
1487925012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: UT 6191957-4405)
Enumeration Date
2012-01-12
Last Update Date
2012-01-12
Business Address
MARYBETH WILSON F.N.P
550 E 1400 N SUITE I
LOGAN, UT 84341-2406
Phone number: 435-753-1545
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Mailing Address
MARYBETH WILSON F.N.P
550 E 1400 N SUITE I
LOGAN, UT 84341-2406
Phone number: 435-753-1545
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