Shane L Otis
Nursing at Sherwood Dr, Providence, UT

License number
Florida 9452144
Issued Date
Jan 26, 2017
Effective Date
Jan 26, 2017
Expiration Date
Jul 31, 2018
Category
Health Care
Type
Registered Nurse
Address
Address
61 N Sherwood Dr, Providence, UT 84332
Phone
(435) 213-7789
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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