Provider Information for 1316308885
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MICHELLE PARRISH
Sex: Female
NPI: 1316308885
Last Updated: 2016-03-11
Certification Date:
Certification Date:
Details
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NPI | 1316308885 | ||||||||
Enumeration Date | 2016-03-11 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 4460 S HIGHLAND DR #230 SALT LAKE CITY, UT 84124-3543 United States Phone: 888-949-4864 | Fax: | ||||||||
Primary Practice Address | 4460 S HIGHLAND DR #230 SALT LAKE CITY, UT 84124-3543 United States Phone: 888-949-4864 | Fax: | ||||||||
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