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1245982701
SHAWN MICHAEL BOLAM
ST GEORGE, UT
NPI
1245982701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
SHAWN MICHAEL BOLAM
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
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Mailing Address
SHAWN MICHAEL BOLAM
474 W 200 N # 300
ST GEORGE, UT 84770-4505
Phone number: 435-634-5600
Copy
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