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Individual

MRS. TRACY E SCHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
100 S 1000 W, TOOELE, UT 84074-4010
(435) 843-3520
Mailing address
149 LAKEVIEW, STANSBURY PARK, UT 84074-9609
(435) 882-7688

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
3624203102
UT
163WE0003X
Emergency Registered Nurse
3624203102
UT

Other

Enumeration date
03/06/2008
Last updated
03/06/2008
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