LESLIE MICHELLE TANNER

PROVO, UT
NPI1780868976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: UT  213341-4405)
Enumeration Date2007-12-24
Last Update Date2008-01-28
Business Address
-- LESLIE MICHELLE TANNER APRN
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-4800
Phone number: 801-422-2771
Mailing Address
-- LESLIE MICHELLE TANNER APRN
1750 N WYMOUNT TERRACE DR
PROVO, UT 84602-4800
Phone number: 801-422-2771
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