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1467535138
AMANDA G LEWIS
PROVO, UT
NPI
1467535138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 4980126-4405)
Enumeration Date
2006-10-24
Last Update Date
2012-01-23
Business Address
-- AMANDA G LEWIS NP
1055 N 300 W STE 401
PROVO, UT 84604-3306
Phone number: 801-357-7499
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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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