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1194266155
KELLIE WINN
SLC, UT
NPI
1194266155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: UT 178443590)
Enumeration Date
2017-03-10
Last Update Date
2017-03-10
Business Address
-- KELLIE WINN
344 E 100 S STE. 301
SLC, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- KELLIE WINN
344 E 100 S STE. 301
SLC, UT 84111-1700
Phone number: 801-322-4257
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