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Individual

EILEEN SHAW LOPES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
50 N MEDICAL DR, SLC, UT 84132-0001
(801) 581-2745
Mailing address
432 S 950 E, OREM, UT 84097-6689
(801) 455-3517

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
214973-4405
UT

Other

Enumeration date
08/28/2009
Last updated
08/28/2009
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