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1134457682
EDITH A SHEPHERD
HERRIMAN, UT
NPI
1134457682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: UT 225182-4405)
Enumeration Date
2009-11-20
Last Update Date
2015-01-31
Business Address
Mrs. EDITH A SHEPHERD APRN LLC
6923 W LONG RIDGE DR
HERRIMAN, UT 84096-3466
Phone number: 801-662-8951
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Mailing Address
Mrs. EDITH A SHEPHERD APRN LLC
6923 W LONG RIDGE DR
HERRIMAN, UT 84096-3466
Phone number: 801-662-8951
Copy
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