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1639576978
CORLISS REYNOLDS
SALT LAKE CITY, UT
NPI
1639576978
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 4775745-4405)
Enumeration Date
2014-12-02
Last Update Date
2014-12-02
Business Address
-- CORLISS REYNOLDS APRN
215 S STATE ST SUITE 110
SALT LAKE CITY, UT 84111-2319
Phone number: 801-441-1002
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Mailing Address
-- CORLISS REYNOLDS APRN
3072 W SWEET BLOSSOM DR
SOUTH JORDAN, UT 84095-3208
Phone number:
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