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1568042588
JOHN ALAN GROTEGUT
PROVO, UT
NPI
1568042588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5258354-4405)
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
JOHN ALAN GROTEGUT APRN
1300 E CENTER ST
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
JOHN ALAN GROTEGUT APRN
1383 S 2600 E
SPANISH FORK, UT 84660-9392
Phone number: 801-361-8062
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