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1083339774
SAMUEL BALL
SALT LAKE CITY, UT
NPI
1083339774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: UT 1650)
Enumeration Date
2022-10-05
Last Update Date
2022-10-05
Business Address
SAMUEL BALL
440 S 500 E
SALT LAKE CITY, UT 84102-2705
Phone number: 801-359-8862
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Mailing Address
SAMUEL BALL
440 S 500 E
SALT LAKE CITY, UT 84102-2705
Phone number:
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