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Individual

MR. JEFFERY LYNN MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F-NP

Contact information

Practice address
1396 N 4800 W, PLAIN CITY, UT 84404-9489
(801) 731-7227
Mailing address
1396 N 4800 W, PLAIN CITY, UT 84404-9489
(801) 731-7227

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5074276-4405
UT

Other

Enumeration date
10/29/2008
Last updated
04/16/2009
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