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1629462189
SHANE MICHAEL HAWTHORNE
OREM, UT
NPI
1629462189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 5450642-1205)
Enumeration Date
2015-03-23
Last Update Date
2019-08-06
Business Address
DR. SHANE MICHAEL HAWTHORNE MD
155 W 400 N
OREM, UT 84057-4658
Phone number: 801-224-1300
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Mailing Address
DR. SHANE MICHAEL HAWTHORNE MD
830 N 2000 W
PLEASANT GROVE, UT 84062-4047
Phone number: 801-443-1139
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