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Individual

SHARLENE BAILEY THOMSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3875 STADIUM WAY DEPT 3903, OGDEN, UT 84408-3903
(801) 626-7833
Mailing address
3379 S 800 W, SYRACUSE, UT 84075-8002
(801) 529-2559

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
289186-3102
UT
363L00000X
Nurse Practitioner
Primary
289186-4405
UT

Other

Enumeration date
03/15/2024
Last updated
05/08/2025
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