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1962109710
JUSTIN SHANNON
OGDEN, UT
NPI
1962109710
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-02-13
Last Update Date
2023-02-13
Business Address
JUSTIN SHANNON
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
JUSTIN SHANNON
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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