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1184294878
LISA MARIE STODDARD
MURRAY, UT
NPI
1184294878
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Former Name
LISA MARIE WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 8705381-4405)
Enumeration Date
2021-06-25
Last Update Date
2021-08-17
Business Address
LISA MARIE STODDARD APRN
5171 S COTTONWOOD ST STE 210
MURRAY, UT 84107-5718
Phone number: 801-507-3380
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Mailing Address
LISA MARIE STODDARD APRN
5179 W NOKASIPPI LN
SOUTH JORDAN, UT 84009-6123
Phone number: 720-201-3640
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