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1003848797
JEFFREY R LISH
BRIGHAM CITY, UT
NPI
1003848797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 178575-1205)
Enumeration Date
2006-07-06
Last Update Date
2020-07-13
Business Address
DR. JEFFREY R LISH M.D.
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 84302-4712
Phone number: 435-723-5248
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Mailing Address
DR. JEFFREY R LISH M.D.
984 MEDICAL DR STE 1
BRIGHAM CITY, UT 84302-4712
Phone number: 435-723-5248
Copy
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