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1215583059
SHANNON WILKES QUINN
SALT LAKE CITY, UT
NPI
1215583059
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Former Name
SHANNON MARIE WILKES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: UT 9062677-4405)
Enumeration Date
2019-08-16
Last Update Date
2019-10-31
Business Address
SHANNON WILKES QUINN APRN
4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT 84117-7056
Phone number: 801-277-2682
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Mailing Address
SHANNON WILKES QUINN APRN
4624 S HOLLADAY BLVD STE 100
SALT LAKE CITY, UT 84117-7056
Phone number: 801-277-2682
Copy
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