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1184060022
PETER MICHAEL FONDARIO
SALT LAKE CITY, UT
NPI
1184060022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2013-05-19
Last Update Date
2013-05-19
Business Address
-- PETER MICHAEL FONDARIO
344 E 100 S SUITE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- PETER MICHAEL FONDARIO
2114 S 50 E
CLEARFIELD, UT 84015-2199
Phone number: 801-322-4257
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