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Individual

MYSTI MICHELLE KNIGHT-COBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
855 E 4800 S STE 100, MURRAY, UT 84107-5513
(801) 473-3963
Mailing address
1477 E SANTIAGO LN APT 31, COTTONWOOD HEIGHTS, UT 84121-7252
(385) 315-0025

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/03/2022
Last updated
08/03/2022
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