TINA NACKOS

PROVO, UT
NPI1770021123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
Enumeration Date2017-02-06
Last Update Date2017-02-06
Business Address
-- TINA NACKOS CNM
585 N 500 W
PROVO, UT 84601-1548
Phone number: 801-404-5588
Mailing Address
-- TINA NACKOS CNM
585 N 500 W
PROVO, UT 84601-1548
Phone number: 801-404-5588
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