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1124584867
LISA O'DONNAL
PROVO, UT
NPI
1124584867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 364770-4405)
Enumeration Date
2019-02-19
Last Update Date
2020-07-01
Business Address
LISA O'DONNAL APRN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-4760
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Mailing Address
LISA O'DONNAL APRN
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 888-949-4864
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