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1003154667
SARA BEAUDRY
SALT LAKE CITY, UT
NPI
1003154667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
(Licence: UT 6323994-4810)
Enumeration Date
2013-01-16
Last Update Date
2013-01-16
Business Address
-- SARA BEAUDRY MSS, ATC, LAT
1840 S 1300 E
SALT LAKE CITY, UT 84105-3617
Phone number: 801-832-2369
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Mailing Address
-- SARA BEAUDRY MSS, ATC, LAT
3070 S 900 E
SALT LAKE CITY, UT 84106-2163
Phone number: 801-830-0188
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