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1689789281
STEPHEN M SHUPE
SALT LAKE CITY, UT
NPI
1689789281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: UT 110838-2401)
Enumeration Date
2006-08-21
Last Update Date
2010-07-06
Business Address
-- STEPHEN M SHUPE M.S., P.T., O.C.S.
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-7542
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Mailing Address
-- STEPHEN M SHUPE M.S., P.T., O.C.S.
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number:
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