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1275018822
EDWIN ETCHU NYAMBI
SALT LAKE CITY, UT
NPI
1275018822
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 7119021-1206)
Enumeration Date
2018-09-29
Last Update Date
2021-11-09
Business Address
EDWIN ETCHU NYAMBI
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-583-2500
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Mailing Address
EDWIN ETCHU NYAMBI
1670 W BUNBURY LN APT 1117
SALT LAKE CITY, UT 84104-3196
Phone number: 801-906-9021
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