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1225294697
SHADOW MOUNTAIN FAMILY MEDICINE LLC
WEST JORDAN, UT
NPI
1225294697
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Entity Type
Organization
Authorized Contact
DAVID J. KANE
VP
801-568-5999
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-08-05
Last Update Date
2009-06-04
Business Address
SHADOW MOUNTAIN FAMILY MEDICINE LLC
3855 W 7800 S SUITE 100
WEST JORDAN, UT 84088-5560
Phone number: 801-282-5952
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Mailing Address
SHADOW MOUNTAIN FAMILY MEDICINE LLC
3855 W 7800 S SUITE 100
WEST JORDAN, UT 84088-5560
Phone number: 801-282-5952
Copy
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