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1740697218
SHANE JONES
PROVO, UT
NPI
1740697218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 6815878-4405)
Enumeration Date
2014-07-16
Last Update Date
2014-09-01
Business Address
-- SHANE JONES FNP
1034 N 500 W
PROVO, UT 84604-3380
Phone number: 801-357-3809
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Mailing Address
-- SHANE JONES FNP
9540 S CHINABERRY CIR
SANDY, UT 84092-3207
Phone number: 435-632-0837
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