SHANE POULSEN

OGDEN, UT
NPI1427606128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-08-27
Last Update Date2019-08-27
Business Address
SHANE POULSEN
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
Mailing Address
SHANE POULSEN
237 26TH ST
OGDEN, UT 84401-3105
Phone number:
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