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1477737419
LORRAINE R DAVIS
PROVO, UT
NPI
1477737419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 217061-4405)
Enumeration Date
2007-12-27
Last Update Date
2008-01-28
Business Address
-- LORRAINE R DAVIS APRN
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-4800
Phone number: 801-422-2771
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Mailing Address
-- LORRAINE R DAVIS APRN
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-4800
Phone number: 801-422-2771
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