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Individual

KERIANNA LYNNE CREEDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1479 W CENTER ST, OREM, UT 84057-5104
(801) 851-7696
(801) 851-7699
Mailing address
151 S UNIVERSITY AVE, SUITE 3200, PROVO, UT 84601-4427
(801) 851-7127
(801) 851-7198

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/17/2013
Last updated
12/30/2013
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