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1902151954
STACY ANN GARNICA
PROVO, UT
NPI
1902151954
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 5586094-4405)
Enumeration Date
2012-07-16
Last Update Date
2024-05-20
Business Address
STACY ANN GARNICA NP-C
589 S STATE ST
PROVO, UT 84606
Phone number: 801-429-2000
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Mailing Address
STACY ANN GARNICA NP-C
589 S STATE ST
PROVO, UT 84606-5056
Phone number: 801-429-2000
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