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1962148072
ATALIE M BRADSHAW
AMERICAN FORK, UT
NPI
1962148072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 10215609-4405)
Enumeration Date
2022-05-11
Last Update Date
2022-07-12
Business Address
ATALIE M BRADSHAW FNP-C
1175 E 50 S STE 171
AMERICAN FORK, UT 84003-2845
Phone number: 801-354-8225
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Mailing Address
ATALIE M BRADSHAW FNP-C
1055 N 500 W ATTN CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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