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1225129117
CLYDEEVE A SHREVE
OGDEN, UT
NPI
1225129117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: UT 101694-0501)
Enumeration Date
2006-09-27
Last Update Date
2007-07-09
Business Address
-- CLYDEEVE A SHREVE DPM
5640 WASATCH DR SUITE F
OGDEN, UT 84403-4902
Phone number: 801-392-7507
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Mailing Address
-- CLYDEEVE A SHREVE DPM
5640 WASATCH DR SUITE F
OGDEN, UT 84403-4902
Phone number: 801-392-7507
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