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Individual

CHRISTOPHER DAVID SELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6743 W OAK FARMS DR, WEST JORDAN, UT 84081-1858
(801) 870-2249
Mailing address
6743 OAK FARMS DRIVE, WEST JORDAN, UT 84081
(801) 870-2249

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
346201-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
346201-4406
UT

Other

Enumeration date
02/09/2016
Last updated
02/10/2016
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