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1134623358
KIMBERLY ELIZABETH SOUZA
LOGAN, UT
NPI
1134623358
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: UT 11414314-1205)
Enumeration Date
2018-03-21
Last Update Date
2024-11-21
Business Address
KIMBERLY ELIZABETH SOUZA MD
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-716-2800
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Mailing Address
KIMBERLY ELIZABETH SOUZA MD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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