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Individual

SHIRLEY JOY PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
5979 S SALEM CIR, KEARNS, UT 84118-6044
(208) 570-7143
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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