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1417774001
SHANE BROOKS
WEST JORDAN, UT
NPI
1417774001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
226000000X Recreational Therapist Assistant
(Licence: UT 12998539-4002)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
SHANE BROOKS TRS, CTRS
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081-5697
Phone number: 801-282-1000
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Mailing Address
SHANE BROOKS TRS, CTRS
5500 W BAGLEY PARK RD
WEST JORDAN, UT 84081-5697
Phone number: 801-282-1000
Copy