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1407242399
GRADY SHUMWAY
BLANDING, UT
NPI
1407242399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Additional Taxonomies
247200000X Technician, Other
Enumeration Date
2015-04-08
Last Update Date
2021-05-11
Business Address
GRADY SHUMWAY
735 S 200 W STE 1
BLANDING, UT 84511-3923
Phone number: 435-678-2992
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Mailing Address
GRADY SHUMWAY
735 S 200 W STE 1
BLANDING, UT 84511-3923
Phone number: 435-678-2992
Copy
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