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1750467155
KELLIE DAUGHARTY LEWIS
SANDY, UT
NPI
1750467155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 322464-4405)
Enumeration Date
2006-10-27
Last Update Date
2022-02-14
Business Address
KELLIE DAUGHARTY LEWIS APRN
39 WANDERWOOD WAY
SANDY, UT 84092-4866
Phone number: 801-561-8398
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Mailing Address
KELLIE DAUGHARTY LEWIS APRN
PO BOX 1009
RIVERTON, UT 84065-1009
Phone number: 801-561-8398
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