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1891901179
LISA A.W. GRIFFIN
PROVO, UT
NPI
1891901179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 4737816-1206)
Enumeration Date
2007-05-15
Last Update Date
2008-08-14
Business Address
-- LISA A.W. GRIFFIN PA-C
1055 N 500 W SUITE 222
PROVO, UT 84604-3305
Phone number: 801-377-4623
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Mailing Address
-- LISA A.W. GRIFFIN PA-C
1055 N 500 W CREDENTIALING DEPARTMENT
PROVO, UT 84604-3305
Phone number: 801-354-8225
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