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1013556422
KEITH GORDON TAYLOR
MURRAY, UT
NPI
1013556422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-01-02
Last Update Date
2020-01-02
Business Address
KEITH GORDON TAYLOR
179 W WINCHESTER ST
MURRAY, UT 84107-7237
Phone number: 801-904-3826
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Mailing Address
KEITH GORDON TAYLOR
9045 S 1300 E
SANDY, UT 84094-3134
Phone number: 801-666-6834
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COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC