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1790330108
KYLIE RUTH FACKRELL
ST GEORGE, UT
NPI
1790330108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-08-03
Last Update Date
2019-10-29
Business Address
KYLIE RUTH FACKRELL PA-C
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790-8722
Phone number: 435-216-7000
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Mailing Address
KYLIE RUTH FACKRELL PA-C
617 E RIVERSIDE DR STE 301
ST GEORGE, UT 84790-8722
Phone number: 435-216-7000
Copy
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