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Individual
LIANE BEVERLY ROOT
Active
Individual
LIANE BEVERLY ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8269312-4405
UT
Other
Enumeration date
11/23/2020
Last updated
11/12/2024
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