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1831540731
JAMIS LEEPER
PROVO, UT
NPI
1831540731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 8122513-4405)
Enumeration Date
2016-06-22
Last Update Date
2022-06-01
Business Address
JAMIS LEEPER
5600 HERITAGE SCHOOL DR
PROVO, UT 84604-7701
Phone number: 801-226-4659
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Mailing Address
JAMIS LEEPER
662 N 550 E
OREM, UT 84097-4133
Phone number: 801-687-1213
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