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1124486253
MIKELLE SHUPE
CLEARFIELD, UT
NPI
1124486253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-02-03
Last Update Date
2016-02-03
Business Address
-- MIKELLE SHUPE
189 S STATE ST SUITE 222
CLEARFIELD, UT 84015-1061
Phone number: 801-255-5131
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Mailing Address
-- MIKELLE SHUPE
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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