DALLAS LANE EARNSHAW

PROVO, UT
NPI1780777649
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT  212165-4405)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- DALLAS LANE EARNSHAW APRN, CNS, BC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
-- DALLAS LANE EARNSHAW APRN, CNS, BC
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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