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1003091430
LISA ANN RUNYON
SALT LAKE CITY, UT
NPI
1003091430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: UT 216679-4405)
Enumeration Date
2008-01-03
Last Update Date
2008-01-03
Business Address
Mrs. LISA ANN RUNYON CPNP
100 N MEDICAL DR TRAUMA SERVICES
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-2993
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Mailing Address
Mrs. LISA ANN RUNYON CPNP
100 N MEDICAL DR TRAUMA SERVICES
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-2993
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