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Individual

DR. SHAWN CRNICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD

Contact information

Practice address
1034 N 500 W, PROVO, UT 84604
(801) 357-7850
Mailing address
1034 N 500 W, PROVO, UT 84604-3380

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/01/2019
Last updated
08/01/2019
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