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1285315176
ILLUMINATE HOLDINGS LLC
BLUFFDALE, UT
NPI
1285315176
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Entity Type
Organization
Authorized Contact
SHELLEY MANGUM
SVP
801-793-0620
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center Multi-Specialty
Enumeration Date
2023-07-25
Last Update Date
2023-07-25
Business Address
ILLUMINATE HOLDINGS LLC
14884 S HERITAGECREST WAY STE D
BLUFFDALE, UT 84065-4840
Phone number: 801-793-0620
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Mailing Address
ILLUMINATE HOLDINGS LLC
510 E SEGO LILY DR
SANDY, UT 84070-3546
Phone number:
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