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1629508403
KELSEY BYWATER
BRIGHAM CITY, UT
NPI
1629508403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 337245-3102)
Enumeration Date
2017-06-14
Last Update Date
2020-07-13
Business Address
KELSEY BYWATER FNP
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 84302-4712
Phone number: 435-723-5248
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Mailing Address
KELSEY BYWATER FNP
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 84302-4712
Phone number: 435-723-5248
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