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Amelia Despain

NPI 1851131825 · on the registry since 2024

Practice

Address
839 N 700 E Apt 1
Logan, UT 84321
Phone
(208) 539-6835

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah