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1922301183
SHAWNA JEAN GILLEN
SALT LAKE CITY, UT
NPI
1922301183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251S00000X
Enumeration Date
2010-12-09
Last Update Date
2010-12-09
Business Address
-- SHAWNA JEAN GILLEN
660 S 200 E STE 308
SALT LAKE CITY, UT 84111-3853
Phone number: 801-355-2086
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Mailing Address
-- SHAWNA JEAN GILLEN
355 DIMAGGIO DR
TOOELE, UT 84074-9297
Phone number: 801-355-2846
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