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1861155228
SHANE A ARCHIBALD
BOUNTIFUL, UT
NPI
1861155228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 7672413-4405)
Enumeration Date
2021-10-21
Last Update Date
2022-11-11
Business Address
SHANE A ARCHIBALD RN, DNP, APRN, FNP-C
185 S 400 E STE 100
BOUNTIFUL, UT 84010-4862
Phone number: 801-397-6200
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Mailing Address
SHANE A ARCHIBALD RN, DNP, APRN, FNP-C
PO BOX 5546
DENVER, CO 80217-5546
Phone number: 801-475-3500
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