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1205625472
FERNANDO GONZALEZ
SALT LAKE CITY, UT
NPI
1205625472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: UT 0)
Enumeration Date
2025-05-05
Last Update Date
2025-05-05
Business Address
FERNANDO GONZALEZ
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 888-949-4864
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Mailing Address
FERNANDO GONZALEZ
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-6490
Phone number:
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