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1790052058
DUJUAN SHAKESPAERE
ST GEORGE, UT
NPI
1790052058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT 7468860-4810)
Enumeration Date
2011-11-30
Last Update Date
2011-11-30
Business Address
-- DUJUAN SHAKESPAERE MS,ATC,LAT
652 S MEDICAL CTR DR
ST GEORGE, UT 84790-7017
Phone number: 435-251-2286
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Mailing Address
-- DUJUAN SHAKESPAERE MS,ATC,LAT
2568 E 160 S
ST GEORGE, UT 84790-6559
Phone number: 818-300-5661
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