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Individual

RAYMOND BOYD OBERSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.N.

Contact information

Practice address
1720 S BELLAIRE ST, STE 325, DENVER, CO 80222-4304
(303) 339-7411
Mailing address
1035 RED BUD CIR, ST GEORGE, UT 84790-6813
(801) 867-1215

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
347327-3102
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
347327-3102
UTAH STATE DEPARTMENT OF PUBLIC LICENCURE
UT
Enumeration date
06/20/2011
Last updated
06/20/2011
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