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1285018069
LARA GREENLEIGH
OGDEN, UT
NPI
1285018069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT 176216484)
Enumeration Date
2015-07-12
Last Update Date
2015-07-12
Business Address
Miss LARA GREENLEIGH Student
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
Miss LARA GREENLEIGH Student
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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