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1619067220
LEE SCOTT MOSS
SALT LAKE CITY, UT
NPI
1619067220
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 217284-4405)
Enumeration Date
2006-10-13
Last Update Date
2007-08-01
Business Address
LEE SCOTT MOSS APRN
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-7738
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Mailing Address
LEE SCOTT MOSS APRN
PO BOX 58049
SALT LAKE CITY, UT 84158-0049
Phone number: 801-213-3800
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