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1497078810
SHANNA A GARDNER
SALT LAKE CITY, UT
NPI
1497078810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 5239)
Enumeration Date
2010-03-12
Last Update Date
2010-03-12
Business Address
-- SHANNA A GARDNER
1952 E 7000 S STE 100
SALT LAKE CITY, UT 84121-6878
Phone number: 801-942-3311
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Mailing Address
-- SHANNA A GARDNER
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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