MICAH TANIEL DUVALL

SOUTH JORDAN, UT
NPI1730465873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  361370-4405)
Enumeration Date2011-11-02
Last Update Date2023-07-07
Business Address
MICAH TANIEL DUVALL FNP
10684 S RIVER FRONT PKWY
SOUTH JORDAN, UT 84095-3525
Phone number: 801-816-0332
Mailing Address
MICAH TANIEL DUVALL FNP
3152N UNIVERSITY AVE 220
PROVO, UT 84604-4746
Phone number: 801-229-1014
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