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1144266321
GINA R LEWIS
PROVO, UT
NPI
1144266321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: UT 3639681205)
Enumeration Date
2006-06-22
Last Update Date
2020-02-28
Business Address
DR. GINA R LEWIS MD
1300 E CENTER ST UTAH STATE HOSPITAL
PROVO, UT 84606-3554
Phone number: 801-344-4400
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Mailing Address
DR. GINA R LEWIS MD
PO BOX 270
PROVO, UT 84603-0270
Phone number: 801-344-4400
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