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Individual
DR. SHON JAMES GOULDING
Active
Individual
DR. SHON JAMES GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3452261202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001659101
IHC
UT
01
—
5290622
CNN
UT
05
—
870395551005
—
UT
01
—
870569430
TAX ID
UT
Enumeration date
06/09/2006
Last updated
07/09/2008
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