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1154670503
SHANNON MICHELLE SUNDBERG
SALT LAKE CITY, UT
NPI
1154670503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: UT 3781234901)
Enumeration Date
2012-08-30
Last Update Date
2012-08-30
Business Address
-- SHANNON MICHELLE SUNDBERG MS, RD, CD
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-277-1207
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Mailing Address
-- SHANNON MICHELLE SUNDBERG MS, RD, CD
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-277-1207
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