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Individual

SHANNON WILKES QUINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4624 S HOLLADAY BLVD STE 100, SALT LAKE CITY, UT 84117-7056
(801) 277-2682
Mailing address
4624 S HOLLADAY BLVD STE 100, SALT LAKE CITY, UT 84117-7056
(801) 277-2682

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9062677-4405
UT

Other

Enumeration date
08/16/2019
Last updated
10/31/2019
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