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Individual

CHERYSH HUBBARD STOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, WHNP, CNM

Contact information

Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(801) 507-1800
Mailing address
1599 W ELSIE DR, TAYLORSVILLE, UT 84123-5208
(208) 221-8127

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
9492401-4405
UT
207VX0000X
Obstetrics Physician
9492401-4402
UT

Other

Enumeration date
10/02/2020
Last updated
10/02/2020
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