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1750053096
SHANNON M ELITE
MURRAY, UT
NPI
1750053096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
SHANNON M ELITE
111 E 5600 S STE 304
MURRAY, UT 84107-8174
Phone number: 801-272-3420
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Mailing Address
SHANNON M ELITE
230 PAGES PL APT 4
BOUNTIFUL, UT 84010-6056
Phone number: 435-592-1542
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