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1124289798
LISA ELLEN DAVIS
SALT LAKE CITY, UT
NPI
1124289798
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Former Name
LISA ELLEN BARNES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: UT 5522893-4402)
Enumeration Date
2008-06-17
Last Update Date
2013-10-29
Business Address
Mrs. LISA ELLEN DAVIS CNM
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0100
Phone number: 801-581-4014
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Mailing Address
Mrs. LISA ELLEN DAVIS CNM
PO BOX 413036
SALT LAKE CITY, UT 84141-3036
Phone number: 801-213-3900
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