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1447008859
SOPHIA ELLIS
PROVO, UT
NPI
1447008859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-09
Last Update Date
2024-05-09
Business Address
SOPHIA ELLIS
1800 NOVELL PL
PROVO, UT 84606-6171
Phone number: 801-734-6769
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Mailing Address
SOPHIA ELLIS
1800 NOVELL PL
PROVO, UT 84606-6171
Phone number:
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