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1831292408
ROBERT T LESA
PROVO, UT
NPI
1831292408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 281253-1206)
Enumeration Date
2006-09-07
Last Update Date
2023-11-27
Business Address
ROBERT T LESA PA
1055 N 500 W SUITE 121
PROVO, UT 84604-3305
Phone number: 801-373-7350
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Mailing Address
ROBERT T LESA PA
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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