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1689184053
MIRANDA GREER
PROVO, UT
NPI
1689184053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: UT 9875115)
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
MIRANDA GREER ATC, LAT
1141 SFH
PROVO, UT 84602-2246
Phone number: 801-362-0120
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Mailing Address
MIRANDA GREER ATC, LAT
723 E 230 N
LINDON, UT 84042-2521
Phone number:
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