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1548627763
KELLY SMITH
PROVO, UT
NPI
1548627763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7334590-4405)
Enumeration Date
2016-01-19
Last Update Date
2016-01-19
Business Address
-- KELLY SMITH N.P.
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-7600
Phone number: 801-422-2771
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Mailing Address
-- KELLY SMITH N.P.
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-7600
Phone number:
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