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1770578254
LAURIE ELLIS
SALT LAKE CITY, UT
NPI
1770578254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 2211674405)
Enumeration Date
2005-09-12
Last Update Date
2007-07-08
Business Address
-- LAURIE ELLIS N.P.
3920 S 1100 E
SALT LAKE CITY, UT 84124-1213
Phone number: 801-266-8841
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Mailing Address
-- LAURIE ELLIS N.P.
3920 S 1100 E
SALT LAKE CITY, UT 84124-1213
Phone number: 801-266-8841
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