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1336322627
JOLENE LALLISS JOHNSON
SALT LAKE CITY, UT
NPI
1336322627
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: UT 3221574405)
Enumeration Date
2007-12-10
Last Update Date
2007-12-10
Business Address
Mrs. JOLENE LALLISS JOHNSON N.N.P.
100 N MEDICAL DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-4100
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Mailing Address
Mrs. JOLENE LALLISS JOHNSON N.N.P.
583 N 200 E
BOUNTIFUL, UT 84010-4642
Phone number: 801-296-2624
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