AMANDA G LEWIS

PROVO, UT
NPI1467535138
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  4980126-4405)
Enumeration Date2006-10-24
Last Update Date2012-01-23
Business Address
-- AMANDA G LEWIS NP
1055 N 300 W STE 401
PROVO, UT 84604-3306
Phone number: 801-357-7499
Mailing Address
-- AMANDA G LEWIS NP
1055 N 300 W SUITE 401
PROVO, UT 84604-3344
Phone number: 801-357-7499
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