Individual
MRS. JULEE DAWN SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
417 S. 100 W., MONTICELLO, UT 84535
(435) 587-3053
Mailing address
P.O. BOX 744, MONTICELLO, UT 84535
(435) 587-3053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
327794-3102
UT
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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