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1215679931
SHAYLEE C PETTIT
SOUTH OGDEN, UT
NPI
1215679931
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 8614262-4405)
Enumeration Date
2022-04-12
Last Update Date
2023-10-31
Business Address
SHAYLEE C PETTIT Nurse Practitioner
5711 S 1475 E STE 201
SOUTH OGDEN, UT 84403-5185
Phone number: 801-332-9034
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Mailing Address
SHAYLEE C PETTIT Nurse Practitioner
5711 S 1475 E STE 201
SOUTH OGDEN, UT 84403-5185
Phone number: 801-332-9034
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