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1144863374
DAVID GUADARRAMA
LOGAN, UT
NPI
1144863374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-10-21
Last Update Date
2019-10-21
Business Address
DAVID GUADARRAMA
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
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Mailing Address
DAVID GUADARRAMA
787 S 980 W
LOGAN, UT 84321-5442
Phone number: 435-512-5831
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