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1922550060
LESLIE DIANE PUTNAM
PROVO, UT
NPI
1922550060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 217006-4405)
Enumeration Date
2016-10-25
Last Update Date
2019-07-22
Business Address
Mrs. LESLIE DIANE PUTNAM APRN, FNP-C
1055 N 500 W STE 205
PROVO, UT 84604-3305
Phone number: 801-429-8095
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Mailing Address
Mrs. LESLIE DIANE PUTNAM APRN, FNP-C
1905 S VINCENT RIDGE DR
SPANISH FORK, UT 84660-8527
Phone number: 801-518-2900
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