Individual
MISS ABBET L ELISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
643 W 700 N, SUITE C, LINDON, UT 84042-1361
(801) 796-0322
Mailing address
717 W 1650 N, OREM, UT 84057-2581
(801) 722-5176
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6964225-4701
UT
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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