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1215696778
DEREK EDWARD LENTZ
LAYTON, UT
NPI
1215696778
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-12-13
Last Update Date
2021-12-13
Business Address
DEREK EDWARD LENTZ
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
DEREK EDWARD LENTZ
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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