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1316624380
PARKER STEVEN SHAW
SOUTH JORDAN, UT
NPI
1316624380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 10823639-4405)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
PARKER STEVEN SHAW APRN
9896 S HEAVENLY CIR
SOUTH JORDAN, UT 84095-4557
Phone number: 801-580-7993
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Mailing Address
PARKER STEVEN SHAW APRN
9896 S HEAVENLY CIR
SOUTH JORDAN, UT 84095-4557
Phone number: 801-580-7993
Copy
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