Individual
SHAWN TIMOTHY O'SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 E 1700 S, SALT LAKE CITY, UT 84105-3748
(801) 349-9050
Mailing address
1450 E 1700 S, SALT LAKE CITY, UT 84105-3748
(801) 349-9050
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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