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1073017760
ANDREA DAWN SHAFFER
SALT LAKE CITY, UT
NPI
1073017760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-19
Last Update Date
2018-03-19
Business Address
ANDREA DAWN SHAFFER
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-577-4997
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Mailing Address
ANDREA DAWN SHAFFER
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 801-577-4997
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