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1053613174
CHRISTOPHER KENNETH CARLSON
SALT LAKE CITY, UT
NPI
1053613174
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT 76990951702)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
Mr. CHRISTOPHER KENNETH CARLSON
30 S 2000 E
SALT LAKE CITY, UT 84112-5820
Phone number: 702-810-2210
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Mailing Address
Mr. CHRISTOPHER KENNETH CARLSON
30 SOUTH 2000 EAST
SALT LAKE CITY, UT 84112
Phone number:
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