SHAWN TATE

LOGAN, UT
NPI1467879668
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  6238119-1205)
Enumeration Date2014-03-25
Last Update Date2018-05-17
Business Address
SHAWN TATE
1400 N 500 E
LOGAN, UT 84341
Phone number: 415-833-9182
Mailing Address
SHAWN TATE
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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