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1417312604
SHANNON MICHELLE MONTAGUE
SALT LAKE CITY, UT
NPI
1417312604
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: UT 345074-4405)
Enumeration Date
2015-12-15
Last Update Date
2015-12-15
Business Address
MRS. SHANNON MICHELLE MONTAGUE ACNP
6360 S 3000 E 210
SALT LAKE CITY, UT 84121-6923
Phone number: 435-615-8822
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Mailing Address
MRS. SHANNON MICHELLE MONTAGUE ACNP
6360 S 3000 E 210
SALT LAKE CITY, UT 84121-6923
Phone number: 435-615-8822
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