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1255865515
GLENN EDWARDS
SALT LAKE CITY, UT
NPI
1255865515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- GLENN EDWARDS
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 912-980-9373
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Mailing Address
-- GLENN EDWARDS
849 W CREEK BEND DR
SOUTH SALT LAKE, UT 84119-6404
Phone number:
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