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Search › Utah › 176B00000X

Leslie Divall

NPI 1639539521 · on the registry since 2016

Practice

Address
589 S State St
Provo, UT 84606
Phone
(801) 429-2000
Organisation at this address
Mountainlands Family Pharmacy
Mountainlands Community Health Center, Inc
Mountainlands Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
176B00000X
176B00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah