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Doctors / UT
NURSE PRACTITIONER
Medical school: ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Graduated: 2025
NPI: 1467260729
701 S MAIN ST
LOGAN, UT 843215765
4359157069
2795 W 2850
Syracuse, UT 840758205
Source: CMS National Downloadable File, September 2026.