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1861061632
JACQUELYN MARIE FOX
PROVO, UT
NPI
1861061632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 12264914-4405)
Enumeration Date
2021-06-24
Last Update Date
2024-05-06
Business Address
JACQUELYN MARIE FOX NP
1055 N 500 W BLDG A
PROVO, UT 84604-3305
Phone number: 801-812-5033
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Mailing Address
JACQUELYN MARIE FOX NP
1055 N. 500 W. ATTN: CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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