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1770053167
LISA LADLE ARCHIBALD
DRAPER, UT
NPI
1770053167
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Former Name
LISA ANN LADLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 8496933-1206)
Enumeration Date
2018-11-28
Last Update Date
2019-02-14
Business Address
LISA LADLE ARCHIBALD PA-C
74 E KIMBALLS LN STE 300
DRAPER, UT 84020-5009
Phone number: 801-572-0311
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Mailing Address
LISA LADLE ARCHIBALD PA-C
74 E KIMBALLS LN STE 300
DRAPER, UT 84020-5009
Phone number: 801-572-0311
Copy
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