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1295438562
SHANNON MARY BARHAM
PROVO, UT
NPI
1295438562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 13196645-4901)
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
SHANNON MARY BARHAM RD
270 N 1080 E
PROVO, UT 84606-3518
Phone number: 385-539-2122
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Mailing Address
SHANNON MARY BARHAM RD
270 N 1080 E
PROVO, UT 84606-3518
Phone number: 385-539-2122
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