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1497431977
SAMANTHA SWAN
PROVO, UT
NPI
1497431977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 13567568-1206)
Enumeration Date
2023-06-27
Last Update Date
2023-11-01
Business Address
SAMANTHA SWAN PA
1055 N 500 W STE 211
PROVO, UT 84604-3305
Phone number: 801-357-7327
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Mailing Address
SAMANTHA SWAN PA
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604-3305
Phone number: 801-354-8225
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