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1710689484
DAVID ALLEN WATERMAN
PROVO, UT
NPI
1710689484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-06-19
Business Address
DAVID ALLEN WATERMAN MD
475 W 940 N
PROVO, UT 84604-3301
Phone number: 801-357-7686
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Mailing Address
DAVID ALLEN WATERMAN MD
475 W 940 N
PROVO, UT 84604-3301
Phone number: 801-357-7930
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