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1144240623
CRAIG L SHANE
SALT LAKE CITY, UT
NPI
1144240623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine Emergency Medical Services
(Licence: UT 322973-1205)
Enumeration Date
2006-07-20
Last Update Date
2007-07-08
Business Address
CRAIG L SHANE MD
8TH AVE C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-269-2500
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Mailing Address
CRAIG L SHANE MD
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number: 801-269-2500
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