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1982803417
SHAE FETTERS
PROVO, UT
NPI
1982803417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other Surgical Technologist
Enumeration Date
2007-07-14
Last Update Date
2007-07-14
Business Address
SHAE FETTERS CFA
3214 N UNIVERSITY AVE # 123
PROVO, UT 84604-4405
Phone number: 801-319-0371
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Mailing Address
SHAE FETTERS CFA
3214 N UNIVERSITY AVE # 123
PROVO, UT 84604-4405
Phone number: 801-319-0371
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