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1134771496
LISA J GEORGE
PROVO, UT
NPI
1134771496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7458342-1206)
Enumeration Date
2019-07-16
Last Update Date
2023-02-09
Business Address
LISA J GEORGE PA-C
395 W COUGAR BLVD STE 704
PROVO, UT 84604-3333
Phone number: 801-357-3242
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Mailing Address
LISA J GEORGE PA-C
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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