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1063935476
TYSON WILLIAM ALLRED
SALT LAKE CITY, UT
NPI
1063935476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-07-18
Last Update Date
2017-07-18
Business Address
TYSON WILLIAM ALLRED
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
TYSON WILLIAM ALLRED
7724 S AVONDALE DR
COTTONWOOD HEIGHTS, UT 84121-5509
Phone number: 801-558-1038
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