STACIE KAY MITANI

PROVO, UT
NPI1649381476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: UT  1834683102)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
-- STACIE KAY MITANI RN
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
Mailing Address
-- STACIE KAY MITANI RN
750 NORTH 200 WEST
PROVO, UT 84601
Phone number: 801-373-4760
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