DEIDRA DAWN BACON

ST GEORGE, UT
NPI1700020369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: UT  197702-4405)
Enumeration Date2009-04-27
Last Update Date2021-08-10
Business Address
DEIDRA DAWN BACON APRN, FNP-BC
577 S RIVER RD
ST GEORGE, UT 84790-2097
Phone number: 435-688-6000
Mailing Address
DEIDRA DAWN BACON APRN, FNP-BC
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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