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1790007656
DIANNE MONTGOMERY
OGDEN, UT
NPI
1790007656
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Former Name
DIANNE GEALTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 1794824405)
Enumeration Date
2010-02-19
Last Update Date
2010-03-10
Business Address
-- DIANNE MONTGOMERY APRN
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-4655
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Mailing Address
-- DIANNE MONTGOMERY APRN
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-4655
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