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1750940219
DIXI HARAMOTO
LOGAN, UT
NPI
1750940219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5283096-4405)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
DIXI HARAMOTO APRN, FNP-C
412 N 200 E
LOGAN, UT 84321-4038
Phone number: 435-713-2800
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Mailing Address
DIXI HARAMOTO APRN, FNP-C
1905 N 7200 W
PETERSBORO, UT 84325
Phone number: 435-232-7729
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