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1750323986
MARK BOYACK
PROVO, UT
NPI
1750323986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 279656-4405)
Enumeration Date
2006-06-12
Last Update Date
2023-11-27
Business Address
MARK BOYACK NP
1055 N 500 W SUITE 222
PROVO, UT 84604-3305
Phone number: 801-377-4623
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Mailing Address
MARK BOYACK NP
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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