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1245710789
TANNA MARIE SHELLEY
TOOELE, UT
NPI
1245710789
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
TANNA MARIE SHELLEY
27 SO MAIN ST
TOOELE, UT 84074
Phone number: 888-949-4864
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Mailing Address
TANNA MARIE SHELLEY
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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