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1497284137
SHANICE BAILEY
SALT LAKE CITY, UT
NPI
1497284137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-06-07
Last Update Date
2017-06-07
Business Address
SHANICE BAILEY
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
SHANICE BAILEY
1055 W 400 N
SALT LAKE CITY, UT 84116-2665
Phone number:
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