Individual
SHAWN KRALING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 932-2591
Mailing address
4501 N UNIVERSITY AVE, PROVO, UT 84604-5504
(801) 932-2591
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
11393572-3101
UT
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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