SHANE JAMES

BOUNTIFUL, UT
NPI1629464706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: UT  284413-4102-20150323)
Enumeration Date2015-04-15
Last Update Date2018-05-22
Business Address
SHANE JAMES M.S. CCC-SLP
425 MEDICAL DR STE 122
BOUNTIFUL, UT 84010
Phone number: 801-719-0754
Mailing Address
SHANE JAMES M.S. CCC-SLP
425 MEDICAL DR STE 122
BOUNTIFUL, UT 84010-4956
Phone number: 801-719-0754
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