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1336743046
LIANE BEVERLY ROOT
WEST JORDAN, UT
NPI
1336743046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 8269312-4405)
Enumeration Date
2020-11-23
Last Update Date
2024-11-12
Business Address
LIANE BEVERLY ROOT
7366 S BRITTANY TOWN DR
WEST JORDAN, UT 84084-4609
Phone number: 801-889-6063
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Mailing Address
LIANE BEVERLY ROOT
7366 S BRITTANY TOWN DR
WEST JORDAN, UT 84084-4609
Phone number: 801-889-6063
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