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Individual
RAYMOND BOYD OBERSHAW
Active
Individual
RAYMOND BOYD OBERSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347327-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
347327-3102
UTAH STATE DEPARTMENT OF PUBLIC LICENCURE
UT
Enumeration date
06/20/2011
Last updated
06/20/2011
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