Provider Information for 1841501772
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Ms. STEPHANIE HEBERT
Sex: Female
NPI: 1841501772
Last Updated: 2011-09-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1841501772 | ||||||||
| Enumeration Date | 2010-06-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5940 SAM FELLOW RD SMITHFIELD, UT 84335-9643 United States Phone: 435-757-8584 | Fax: | ||||||||
| Primary Practice Address | 5940 SAM FELLOW RD SMITHFIELD, UT 84335-9643 United States Phone: 435-757-8584 | Fax: | ||||||||
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