Dominique Sage Elder
Dominique Sage Elder is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1800 S Novell PlProvo, UT 84606
Phone: (801) 830-2038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1063079705 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 28, 2019 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
| Mailing address | 750 N Freedom Blvd, Provo, UT 84601-1677 |
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