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1093257123
GEMMA WALLACE
SALT LAKE CITY, UT
NPI
1093257123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-11-07
Last Update Date
2016-11-07
Business Address
-- GEMMA WALLACE
344 E 100 S SUITE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- GEMMA WALLACE
414 E VAN NESS PL
SALT LAKE CITY, UT 84111-4312
Phone number: 315-750-6733
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