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1013616051
KADE WAGERS
SALT LAKE CITY, UT
NPI
1013616051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-28
Last Update Date
2023-02-28
Business Address
KADE WAGERS MK
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-581-7498
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Mailing Address
KADE WAGERS MK
2248 E SOLITUDE CT
BOISE, ID 83712-7576
Phone number: 208-995-0580
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