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1003586876
ALISA F CORRY
MURRAY, UT
NPI
1003586876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 8183823-4405)
Enumeration Date
2021-09-14
Last Update Date
2022-08-04
Business Address
ALISA F CORRY NP-C
5171 S COTTONWOOD ST STE 210
MURRAY, UT 84107-5718
Phone number: 801-507-3380
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Mailing Address
ALISA F CORRY NP-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-507-3380
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