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1053855254
SHALISA LADD
SLC, UT
NPI
1053855254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-12-07
Last Update Date
2016-12-07
Business Address
-- SHALISA LADD
344 E 100 S STE 301
SLC, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- SHALISA LADD
866 E SOUTH TEMPLE #3
SALT LAKE CITY, UT 84102-1332
Phone number: 385-495-6990
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