SHANTEL D WILSON

PROVO, UT
NPI1205140951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: UT  6858779-3102)
Enumeration Date2010-08-04
Last Update Date2019-03-31
Business Address
SHANTEL D WILSON RN
750 N 200 W
PROVO, UT 84601-1677
Phone number: 801-373-4760
Mailing Address
SHANTEL D WILSON RN
750 N 200 W
PROVO, UT 84601-1677
Phone number:
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