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1740809714
LISA K ELLINGFORD
RICHFIELD, UT
NPI
1740809714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
176B00000X Midwife
Enumeration Date
2020-04-10
Last Update Date
2020-04-10
Business Address
LISA K ELLINGFORD CPM
1320 E SR 119
RICHFIELD, UT 84701-9407
Phone number: 435-201-1492
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Mailing Address
LISA K ELLINGFORD CPM
1320 E SR 119
RICHFIELD, UT 84701-9407
Phone number: 435-201-1492
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