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1740296037
MARY SUSAN BERKEBILE
PROVO, UT
NPI
1740296037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: UT 932613271205)
Enumeration Date
2006-07-31
Last Update Date
2022-08-24
Business Address
MARY SUSAN BERKEBILE MD
1034 N 500 W #E388
PROVO, UT 84604-3380
Phone number: 801-357-7291
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Mailing Address
MARY SUSAN BERKEBILE MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-8310
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