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1205028784
JUSTIN SHANE WHITE
OGDEN, UT
NPI
1205028784
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 66740681204)
Enumeration Date
2007-08-17
Last Update Date
2021-09-29
Business Address
Dr. JUSTIN SHANE WHITE D.O.
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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Mailing Address
Dr. JUSTIN SHANE WHITE D.O.
2240 ADAMS AVE
OGDEN, UT 84401-1511
Phone number: 801-393-5355
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