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Organization

COUNTRY HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA JEFFERIES FNP-C (OWNER)
(385) 352-5545
Entity
Organization

Contact information

Practice address
35 N 500 W, LEHI, UT 84043-1755
(385) 383-3103
(385) 352-1003
Mailing address
35 N 500 W, LEHI, UT 84043-1755
(385) 352-5545
(385) 352-1003

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
01/01/2022
Last updated
03/01/2023
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