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1376929299
SHANE ANDREW BACKMAN
SALT LAKE CITY, UT
NPI
1376929299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2015-08-03
Last Update Date
2021-10-16
Business Address
SHANE ANDREW BACKMAN PA-C
30 N 1900 E RM 3B110
SALT LAKE CITY, UT 84132-2101
Phone number: 801-581-8738
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Mailing Address
SHANE ANDREW BACKMAN PA-C
30 N 1900 E RM 3B110
SALT LAKE CITY, UT 84132-2101
Phone number: 801-581-8738
Copy
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