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1790421626
JOHN GREGORY ELLIS
SALT LAKE CITY, UT
NPI
1790421626
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 11252944-3102)
Enumeration Date
2022-05-12
Last Update Date
2023-05-24
Business Address
JOHN GREGORY ELLIS
7050 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84121-3762
Phone number: 801-878-4081
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Mailing Address
JOHN GREGORY ELLIS
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number:
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