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1215246731
SHELLIE R CROSSETT
SALT LAKE CITY, UT
NPI
1215246731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 285455-4405)
Enumeration Date
2010-10-01
Last Update Date
2010-10-01
Business Address
-- SHELLIE R CROSSETT FNP
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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Mailing Address
-- SHELLIE R CROSSETT FNP
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
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