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1699252742
SHAUNA SKOG
SALT LAKE CITY, UT
NPI
1699252742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 191211-4405)
Enumeration Date
2018-07-22
Last Update Date
2022-09-26
Business Address
SHAUNA SKOG RN
2002 E SYLVAN AVE
SALT LAKE CITY, UT 84108-3127
Phone number: 801-916-8698
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Mailing Address
SHAUNA SKOG RN
2002 E SYLVAN AVE
SALT LAKE CITY, UT 84108-3127
Phone number: 180-148-5177
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