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1518620681
DEVERY ANN SHADDY
WEST JORDAN, UT
NPI
1518620681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 10212033-4405)
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
DEVERY ANN SHADDY FNP
7123 W 8090 S
WEST JORDAN, UT 84081-5089
Phone number: 801-654-1993
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Mailing Address
DEVERY ANN SHADDY FNP
7123 W 8090 S
WEST JORDAN, UT 84081-5089
Phone number: 801-654-1993
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