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Individual

IAN COURTNEY SHENK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2928 W LEMAY AVE, WEST VALLEY CITY, UT 84119-2860
(602) 570-2011
Mailing address
2928 W LEMAY AVE, WEST VALLEY CITY, UT 84119-2860
(602) 570-2011

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12076826-4405
UT

Other

Enumeration date
07/07/2026
Last updated
07/07/2026
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