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1114403698
ETHAN B SHIPP
MURRAY, UT
NPI
1114403698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: UT 5560934-4405)
Enumeration Date
2018-07-17
Last Update Date
2023-04-27
Business Address
ETHAN B SHIPP
650 E 4500 S STE 300
MURRAY, UT 84107-4502
Phone number: 801-261-3500
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Mailing Address
ETHAN B SHIPP
650 E 4500 S STE 300
MURRAY, UT 84107-4502
Phone number: 801-261-3500
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