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Individual

DORIS ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
750 N 200 W, PROVO, UT 84601-1677
(801) 852-4735
Mailing address
1263 E 640 S, PAYSON, UT 84651-1693
(801) 319-1945

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/10/2016
Last updated
01/10/2016
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