Individual
SHELBY JEANNE DEUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9657 N 5650 W, HIGHLAND, UT 84003-3532
(801) 717-6582
Mailing address
9657 N 5650 W, HIGHLAND, UT 84003-3532
(801) 717-6582
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
14160294-4810
UT
Other
Enumeration date
01/24/2023
Last updated
09/22/2024
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