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Individual

JUSTICE LEE FORSHEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
716 E 4500 S STE N160, MURRAY, UT 84107-3617
(801) 281-1100
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(888) 949-4864

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1992058028
UT
Enumeration date
08/22/2018
Last updated
04/13/2021
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