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Individual

GINGER LYNN BELONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN

Contact information

Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
Mailing address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 372-7038

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
346888-3102
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/02/2013
Last updated
01/08/2013
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