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1265900880
BREANNA CARUSO
SALT LAKE CITY, UT
NPI
1265900880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
BREANNA CARUSO
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 888-949-4864
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Mailing Address
BREANNA CARUSO
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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