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1073190922
JUSTINE B. LY
SALT LAKE CITY, UT
NPI
1073190922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 12984943-1205)
Enumeration Date
2021-03-26
Last Update Date
2022-08-16
Business Address
JUSTINE B. LY MD
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108-1261
Phone number: 801-587-3411
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Mailing Address
JUSTINE B. LY MD
375 S CHIPETA WAY STE A
SALT LAKE CITY, UT 84108-1261
Phone number: 801-587-3411
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