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1124849302
BENJAMIN BAKER
SALT LAKE CITY, UT
NPI
1124849302
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
BENJAMIN BAKER
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
BENJAMIN BAKER
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5411
Phone number: 888-949-4864
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