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1871532101
DANA M SHAW
SALT LAKE CITY, UT
NPI
1871532101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: UT 224930-4405)
Enumeration Date
2006-06-05
Last Update Date
2007-07-08
Business Address
-- DANA M SHAW APRN
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
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Mailing Address
-- DANA M SHAW APRN
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
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