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1720725930
NATALIE MAE STAPP
PROVO, UT
NPI
1720725930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 116272121206)
Enumeration Date
2022-05-18
Last Update Date
2024-05-14
Business Address
NATALIE MAE STAPP
122 E 1700 S BLDG 3
PROVO, UT 84606-5644
Phone number: 801-472-3902
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Mailing Address
NATALIE MAE STAPP
122 E 1700 S BLDG 3
PROVO, UT 84606-5644
Phone number: 801-375-5125
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