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1275999005
SHANELL GOODELL
OREM, UT
NPI
1275999005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 96220122401)
Enumeration Date
2016-01-09
Last Update Date
2022-05-05
Business Address
SHANELL GOODELL DPT
527 W 400 N STE 6
OREM, UT 84057-1951
Phone number: 801-318-8081
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Mailing Address
SHANELL GOODELL DPT
527 W 400 N STE 6
OREM, UT 84057-1951
Phone number:
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