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1134887821
SHAY CHRISTIAN HARDING
PROVO, UT
NPI
1134887821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7372806-4405)
Enumeration Date
2021-11-30
Last Update Date
2022-05-18
Business Address
SHAY CHRISTIAN HARDING
395 W COUGAR BLVD STE 503
PROVO, UT 84604-3323
Phone number: 801-357-7081
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Mailing Address
SHAY CHRISTIAN HARDING
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-699-8125
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