JUSTIN SHANNON

OGDEN, UT
NPI1962109710
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-02-13
Last Update Date2023-02-13
Business Address
JUSTIN SHANNON
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
Mailing Address
JUSTIN SHANNON
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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