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1780615658
SHANA K. EBORN
SALT LAKE CITY, UT
NPI
1780615658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 5945718-1205)
Enumeration Date
2006-07-06
Last Update Date
2019-12-09
Business Address
SHANA K. EBORN MD
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
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Mailing Address
SHANA K. EBORN MD
2295 FOOTHILL DR
SALT LAKE CITY, UT 84109-4000
Phone number: 801-486-3021
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