KELLIE MARIE HERGET

MIDVALE, UT
NPI1124338090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2010-10-13
Last Update Date2010-10-13
Business Address
-- KELLIE MARIE HERGET
7575 S 900 E
MIDVALE, UT 84047-2343
Phone number: 801-208-1031
Mailing Address
-- KELLIE MARIE HERGET
4525 S 1200 E
SALT LAKE CITY, UT 84117-4154
Phone number: 801-792-1622
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