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1508347006
SHANE RULON STRATFORD
OGDEN, UT
NPI
1508347006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: UT 79812274405)
Enumeration Date
2018-08-23
Last Update Date
2018-08-23
Business Address
SHANE RULON STRATFORD DNP, AG-ACNP
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-2800
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Mailing Address
SHANE RULON STRATFORD DNP, AG-ACNP
PO BOX 571117
MURRAY, UT 84157-1117
Phone number: 801-507-9700
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