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Individual

ASHLYN RIGGS DEGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3580 W 9000 S, WEST JORDAN, UT 84088-8812
(801) 561-8888
Mailing address
14763 S TORREY VIEW LN, BLUFFDALE, UT 84065-1740

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
111334333-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
11133433-4406
UT

Other

Enumeration date
01/03/2024
Last updated
01/23/2024
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