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1134717820
VARNEY AMIGO FOFANA
SALT LAKE CITY, UT
NPI
1134717820
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
VARNEY AMIGO FOFANA
340 E 100 S
SALT LAKE CITY, UT 84111-1702
Phone number: 801-322-3222
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Mailing Address
VARNEY AMIGO FOFANA
340 E 100 S
SALT LAKE CITY, UT 84111-1702
Phone number: 801-322-3222
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