STACY PROBASCO

LAYTON, UT
NPI1730639543
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  5542435-1206)
Enumeration Date2016-10-05
Last Update Date2016-10-05
Business Address
-- STACY PROBASCO
2121 N 1700 W
LAYTON, UT 84041-8803
Phone number: 801-773-4840
Mailing Address
-- STACY PROBASCO
PO BOX 337
LAYTON, UT 84041-0337
Phone number: 801-773-4840
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