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1730465873
MICAH TANIEL DUVALL
SOUTH JORDAN, UT
NPI
1730465873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: UT 361370-4405)
Enumeration Date
2011-11-02
Last Update Date
2023-07-07
Business Address
MICAH TANIEL DUVALL FNP
10684 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095-3525
Phone number: 801-816-0332
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Mailing Address
MICAH TANIEL DUVALL FNP
3152N UNIVERSITY AVE 220
PROVO, UT 84604-4746
Phone number: 801-229-1014
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