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1013611060
SHANNON B. MCKIM
SALT LAKE CITY, UT
NPI
1013611060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 14174930-1204)
Enumeration Date
2023-03-27
Last Update Date
2024-09-27
Business Address
Ms. SHANNON B. MCKIM DO
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-2121
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Mailing Address
Ms. SHANNON B. MCKIM DO
375 S CHIPETA WAY RM 201
SALT LAKE CITY, UT 84108-1260
Phone number: 801-581-2121
Copy
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