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1093551798
ELIJAH D COUNTERMAN
SALT LAKE CITY, UT
NPI
1093551798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-07-02
Last Update Date
2024-07-02
Business Address
ELIJAH D COUNTERMAN
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 385-215-4577
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Mailing Address
ELIJAH D COUNTERMAN
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number:
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