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1003596362
GENEVIEVE LA FANNIE CRUZ
LAYTON, UT
NPI
1003596362
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-21
Last Update Date
2023-07-21
Business Address
GENEVIEVE LA FANNIE CRUZ
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1839
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Mailing Address
GENEVIEVE LA FANNIE CRUZ
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-336-1839
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