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1164960241
BREANNA DAVIS
SALT LAKE CITY, UT
NPI
1164960241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
-- BREANNA DAVIS
344 E 100 S STE. 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- BREANNA DAVIS
348 E EDITH AVE
SALT LAKE CITY, UT 84111-4707
Phone number: 801-414-7168
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