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1306661921
LILY LINES
PROVO, UT
NPI
1306661921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 12931174-4405)
Enumeration Date
2024-11-19
Last Update Date
2024-11-19
Business Address
LILY LINES FNP
39 E 600 N APT 109
PROVO, UT 84606-2726
Phone number: 480-646-7486
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Mailing Address
LILY LINES FNP
39 E 600 N APT 109
PROVO, UT 84606-2726
Phone number: 480-646-7486
Copy
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