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1194456657
JESSICA TATEISHI
SALT LAKE CITY, UT
NPI
1194456657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-06-23
Last Update Date
2022-06-27
Business Address
JESSICA TATEISHI
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
JESSICA TATEISHI
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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