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1841713401
DEVAN MICHAEL THOMAS
SANDY, UT
NPI
1841713401
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 86565854405)
Enumeration Date
2017-07-25
Last Update Date
2020-03-09
Business Address
DEVAN MICHAEL THOMAS Nurse Practitioner
10011 S CENTENNIAL PKWY STE 350
SANDY, UT 84070-4137
Phone number: 801-566-5350
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Mailing Address
DEVAN MICHAEL THOMAS Nurse Practitioner
75 S 200 E STE 100
PROVO, UT 84606-3146
Phone number: 801-877-5801
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