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Individual

NAOMI LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
517 W 100 N STE 110, PROVIDENCE, UT 84332-9826
(435) 755-6075
Mailing address
517 W 100 N STE 110, PROVIDENCE, UT 84332-9826

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11770693-1206
UT

Other

Enumeration date
06/09/2020
Last updated
06/09/2020
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