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1366003840
JENNIFER LAUREN SMITH
PROVO, UT
NPI
1366003840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: UT 10226501)
Enumeration Date
2019-06-25
Last Update Date
2020-09-03
Business Address
JENNIFER LAUREN SMITH
585 N 500 W
PROVO, UT 84601-1548
Phone number: 801-374-1801
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Mailing Address
JENNIFER LAUREN SMITH
838 W 2000 N
PROVO, UT 84604-1245
Phone number:
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