Individual
MYRNA KAY DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
846 HIGH COUNTRY DR, OREM, UT 84097-2369
(801) 224-4632
(801) 850-9354
Mailing address
PO BOX 728, SPANISH FORK, UT 84660-0728
(801) 224-4632
(801) 850-9354
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HT006691-001
—
UT
Enumeration date
08/05/2011
Last updated
08/05/2011
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