LESLIE DIVALL

PROVO, UT
NPI1639539521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: UT  5611104-4402)
Enumeration Date2016-03-04
Last Update Date2020-04-15
Business Address
LESLIE DIVALL
589 S STATE ST
PROVO, UT 84606-5056
Phone number: 801-429-2000
Mailing Address
LESLIE DIVALL
589 SOUTH STATE STREET
PROVO, UT 84606
Phone number: 801-429-2000
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