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Individual

MRS. SHARLENE B. COOMBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
100 MARIO CAPECCHI DR, SUITE 2650, SALT LAKE CITY, UT 84113-1103
(801) 662-5319
(801) 662-2912
Mailing address
100 MARIO CAPECCHI DR, SUITE 2650, SALT LAKE CITY, UT 84113-1103
(801) 662-5319
(801) 662-2912

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1068414901
UT

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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