LISA H FULLMER

PROVO, UT
NPI1710090923
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: UT  2089873102)
Enumeration Date2006-08-15
Last Update Date2007-07-08
Business Address
-- LISA H FULLMER RN
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-373-7850
Mailing Address
-- LISA H FULLMER RN
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-357-7475
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