DEZIE VANDYKE

PROVO, UT
NPI1508211830
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-04-23
Last Update Date2016-04-23
Business Address
-- DEZIE VANDYKE
900 COLUMBIA LN
PROVO, UT 84604-1320
Phone number: 801-375-4240
Mailing Address
-- DEZIE VANDYKE
619 N 500 W
PROVO, UT 84601-1547
Phone number: 801-375-4240
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