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1073873691
STACY SUZUKI
SOUTH SALT LAKE, UT
NPI
1073873691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: UT 4825685-3503)
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
-- STACY SUZUKI SSW
177 PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 385-468-4451
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Mailing Address
-- STACY SUZUKI SSW
177 PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 385-468-4451
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