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1801382593
THOMAS JAMES TERVORT
PROVO, UT
NPI
1801382593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 8394281-4405)
Enumeration Date
2018-07-05
Last Update Date
2021-03-15
Business Address
Mr. THOMAS JAMES TERVORT DNP, NP-C
1055 N 300 W STE 410
PROVO, UT 84604-3354
Phone number: 801-616-3675
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Mailing Address
Mr. THOMAS JAMES TERVORT DNP, NP-C
1055 N 300 W STE 410
PROVO, UT 84604-3354
Phone number: 801-616-3675
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