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MRS. RENEE PROCTOR WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
585 N 500 W, PROVO, UT 84601-1548
(801) 404-5588
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 404-5588
(801) 216-8357

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
9867259
UT

Other

Enumeration date
09/30/2006
Last updated
12/20/2021
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