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1588064315
LISA MARIE SMITH
SALT LAKE CITY, UT
NPI
1588064315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9138975-8906)
Enumeration Date
2014-08-29
Last Update Date
2016-09-21
Business Address
-- LISA MARIE SMITH PA-C
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
-- LISA MARIE SMITH PA-C
500 FOOTHILL BLVD
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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