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1376830414
LISA MICONI-CORREA
OGDEN, UT
NPI
1376830414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 200854-4408)
Enumeration Date
2011-07-08
Last Update Date
2017-01-18
Business Address
-- LISA MICONI-CORREA FNP
5740 CRESTWOOD DR
OGDEN, UT 84405-4869
Phone number: 801-479-7771
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Mailing Address
-- LISA MICONI-CORREA FNP
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-479-7771
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