SHIRLEY JEAN BLEAK

SALT LAKE CITY, UT
NPI1124197512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  193402-4405)
Enumeration Date2006-11-07
Last Update Date2019-01-15
Business Address
Mrs. SHIRLEY JEAN BLEAK FNP-C, MSN, RNC
5131 COTTONWOOD ST L-2
SALT LAKE CITY, UT 84107-5701
Phone number: 801-263-3415
Mailing Address
Mrs. SHIRLEY JEAN BLEAK FNP-C, MSN, RNC
1121 E 3900 S SUITE C-230
SALT LAKE CITY, UT 84124-1214
Phone number: 801-262-9494
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