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1295171874
ANGEL KAE LYBBERT
PROVO, UT
NPI
1295171874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 9116912-1205)
Enumeration Date
2013-05-22
Last Update Date
2018-04-20
Business Address
ANGEL KAE LYBBERT M.D.
395 W. BULLDOG BLVD. SUITE 6B
PROVO, UT 84604
Phone number: 801-357-7250
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Mailing Address
ANGEL KAE LYBBERT M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-357-7250
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