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1780317651
SAMANTHA SHAW
BRIGHAM CITY, UT
NPI
1780317651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
SAMANTHA SHAW
35 SKYLINE DR STE 103
BRIGHAM CITY, UT 84302-6773
Phone number: 801-255-5131
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Mailing Address
SAMANTHA SHAW
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number:
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