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1174202196
RUSSELL OPATZ
SALT LAKE CITY, UT
NPI
1174202196
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-07-17
Last Update Date
2023-07-17
Business Address
RUSSELL OPATZ
4460 S HIGHLAND DR STE 230
SALT LAKE CITY, UT 84124-3550
Phone number: 801-263-7190
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Mailing Address
RUSSELL OPATZ
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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