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1114599883
ENRIQUE HAFEMANN
SALT LAKE CITY, UT
NPI
1114599883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
ENRIQUE HAFEMANN
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
ENRIQUE HAFEMANN
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
Copy
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