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1225756117
ANTHONIA VITA POOWEGUP
SALT LAKE CITY, UT
NPI
1225756117
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-17
Last Update Date
2022-08-17
Business Address
ANTHONIA VITA POOWEGUP
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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Mailing Address
ANTHONIA VITA POOWEGUP
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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