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1447891676
SHAMIS TATE
TAYLORSVILLE, UT
NPI
1447891676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 9311052-4405)
Enumeration Date
2019-09-29
Last Update Date
2019-09-29
Business Address
SHAMIS TATE FNP
6575 S REDWOOD RD STE 350
TAYLORSVILLE, UT 84123-5693
Phone number: 801-618-4688
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Mailing Address
SHAMIS TATE FNP
6575 S REDWOOD RD STE 350
TAYLORSVILLE, UT 84123-5693
Phone number: 801-618-4688
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