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Search › Utah › 101Y00000X

Shauna Chacon

NPI 1417109752 · on the registry since 2008 · sole proprietor

Practice

Address
50 N Main St
Tooele, UT 84074
Phone
(435) 850-8723
Organisation at this address
C Hakes Llc
C.Hakes,Llc
Evan T Kenison
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah