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Individual

EMILY YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
150 E 100 S, PROVO, UT 84606-4604
(303) 565-7933
Mailing address
150 E 100 S, PROVO, UT 84606-4604

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
302308
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
302308
IBCLE
UT
Enumeration date
01/09/2021
Last updated
01/09/2021
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