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1780868976
LESLIE MICHELLE TANNER
PROVO, UT
NPI
1780868976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: UT 213341-4405)
Enumeration Date
2007-12-24
Last Update Date
2008-01-28
Business Address
-- LESLIE MICHELLE TANNER APRN
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-4800
Phone number: 801-422-2771
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Mailing Address
-- LESLIE MICHELLE TANNER APRN
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-4800
Phone number: 801-422-2771
Copy
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