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1114419967
SIDNEY LOUIS ALLEN
SALT LAKE CITY, UT
NPI
1114419967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
SIDNEY LOUIS ALLEN
447 W BEARCAT DR
SALT LAKE CITY, UT 84115-2519
Phone number: 801-235-5284
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Mailing Address
SIDNEY LOUIS ALLEN
447 W BEARCAT DR
SALT LAKE CITY, UT 84115-2519
Phone number: 801-235-5284
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