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1306124797
SHAWNA DOMINGO
SALT LAKE CITY, UT
NPI
1306124797
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IA P52685)
Enumeration Date
2011-08-02
Last Update Date
2011-08-02
Business Address
SHAWNA DOMINGO LPN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
SHAWNA DOMINGO LPN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
Copy
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