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1023108644
LEISSA A ROBERTS
SALT LAKE CITY, UT
NPI
1023108644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: UT 211268-4402)
Enumeration Date
2006-10-13
Last Update Date
2021-11-16
Business Address
LEISSA A ROBERTS CNM
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-4014
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Mailing Address
LEISSA A ROBERTS CNM
PO BOX 413036
SALT LAKE CITY, UT 84141-3036
Phone number: 801-213-3900
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