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1932353380
ANDREA GRAHAM SOUTHERLAND
RIVERTON, UT
NPI
1932353380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: UT 4552609-4405)
Enumeration Date
2008-11-12
Last Update Date
2019-06-05
Business Address
ANDREA GRAHAM SOUTHERLAND NP
1420 W 12600 S STE 102
RIVERTON, UT 84065-7080
Phone number: 801-254-4600
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Mailing Address
ANDREA GRAHAM SOUTHERLAND NP
1420 W 12600 S STE 102
RIVERTON, UT 84065-7080
Phone number: 801-254-4600
Copy
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