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1093151896
LESLY ANAHI RICO
SALT LAKE CITY, UT
NPI
1093151896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: UT 175566878)
Enumeration Date
2013-05-20
Last Update Date
2013-05-20
Business Address
-- LESLY ANAHI RICO
344 E 100 S 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- LESLY ANAHI RICO
1510 W ARAPAHOE AVE
SALT LAKE CITY, UT 84104-2600
Phone number:
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