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1013387422
HOLLY POTTER
SALT LAKE CITY, UT
NPI
1013387422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
-- HOLLY POTTER
344 E 100 S STE301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- HOLLY POTTER
157 E HARVARD AVE
SALT LAKE CITY, UT 84111-4506
Phone number: 801-532-4634
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