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1912207226
STACIE R PEARCE
MIDVALE, UT
NPI
1912207226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 59197854405)
Enumeration Date
2010-11-02
Last Update Date
2010-11-02
Business Address
-- STACIE R PEARCE NP
602 E 7200 S
MIDVALE, UT 84047-2216
Phone number: 801-313-1010
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Mailing Address
-- STACIE R PEARCE NP
602 E 7200 S
MIDVALE, UT 84047-2216
Phone number: 801-313-1010
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