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1669875886
SAMUEL KIRK SHEWAN
SALT LAKE CITY, UT
NPI
1669875886
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 9806476-1206)
Enumeration Date
2014-10-01
Last Update Date
2022-03-29
Business Address
SAMUEL KIRK SHEWAN PA-C
2000 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 84112-5550
Phone number: 015-874-6878
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Mailing Address
SAMUEL KIRK SHEWAN PA-C
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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