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Individual

SEAN MCLEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
170 N 1100 E, AMERICAN FORK, UT 84003-2096
(801) 735-8410
Mailing address
702 E 1170 N, PLEASANT GROVE, UT 84062-9132
(801) 735-8410

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6845598-4406
UT
367500000X
Certified Registered Nurse Anesthetist
814877
NV

Other

Enumeration date
10/01/2018
Last updated
09/09/2019
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