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1164757100
PATRICK BOYD SHEPHERD
LOGAN, UT
NPI
1164757100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 7141545-4901)
Enumeration Date
2009-10-08
Last Update Date
2009-10-08
Business Address
-- PATRICK BOYD SHEPHERD RD
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-792-1703
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Mailing Address
-- PATRICK BOYD SHEPHERD RD
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 435-792-1703
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