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1669404414
STACEY KAY SHAFFER
SALT LAKE CITY, UT
NPI
1669404414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: UT 223232-4405)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
Ms. STACEY KAY SHAFFER APRN
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Ms. STACEY KAY SHAFFER APRN
2554 GRAND POINT CIR
SANDY, UT 84092-3440
Phone number: 801-582-1565
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