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1376262451
MADELINE SHAW
SALT LAKE CITY, UT
NPI
1376262451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2022-08-23
Last Update Date
2022-11-01
Business Address
MADELINE SHAW
1020 S MAIN ST
SALT LAKE CITY, UT 84101-3176
Phone number: 888-949-4864
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Mailing Address
MADELINE SHAW
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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