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1417125139
SHADOW MOUNTAIN FAMILY PHYSICIANS
WEST JORDAN, UT
NPI
1417125139
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Entity Type
Organization
Authorized Contact
JOSEPH KASPER
President
801-282-5952
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 346744-1205)
Enumeration Date
2008-02-15
Last Update Date
2008-04-01
Business Address
SHADOW MOUNTAIN FAMILY PHYSICIANS
7800 SOUTH 3855 WEST 100
WEST JORDAN, UT 84088
Phone number: 801-282-5952
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Mailing Address
SHADOW MOUNTAIN FAMILY PHYSICIANS
7800 S 3855 W #100
WEST JORDAN, UT 84084
Phone number: 801-282-5952
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