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1811746506
TAMARA JEAN EWAN
PROVO, UT
NPI
1811746506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5645425-4405)
Enumeration Date
2024-05-15
Last Update Date
2024-05-15
Business Address
TAMARA JEAN EWAN Nurse Practitioner
1055 N 300 W STE 311
PROVO, UT 84604-3373
Phone number: 801-852-9601
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Mailing Address
TAMARA JEAN EWAN Nurse Practitioner
1521 EASTWOOD CIR
PRICE, UT 84501-2036
Phone number: 435-630-3951
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