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Individual

STEPHANIE BEVILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2708
Mailing address
3135 E LOUISE AVE, SALT LAKE CITY, UT 84109-2224
(704) 654-5561

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
10200853-3102
UT

Other

Enumeration date
11/06/2020
Last updated
11/06/2020
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