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Individual

JANA LOUISE BURNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
852 EXPRESSWAY LN, SPANISH FORK, UT 84660-1300
(801) 794-7947
Mailing address
664 N 350 E, GENOLA, UT 84655-8187
(801) 369-4537

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
310758-4405
UT

Other

Enumeration date
08/12/2016
Last updated
08/12/2016
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