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1831548098
SHANE FARR
SALT LAKE CITY, UT
NPI
1831548098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-06-08
Last Update Date
2016-06-08
Business Address
-- SHANE FARR P.A.
1548 E 4500 S STE 202
SALT LAKE CITY, UT 84117-4209
Phone number: 801-266-8841
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Mailing Address
-- SHANE FARR P.A.
1548 E 4500 S STE 202
SALT LAKE CITY, UT 84117-4209
Phone number:
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