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1306390257
IANETA MISA
SALT LAKE CITY, UT
NPI
1306390257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-08-09
Last Update Date
2016-08-09
Business Address
-- IANETA MISA
344 E 100 S SUITE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- IANETA MISA
688 MORTON DRIVE
SALT LAKE, UTAH 84116
Phone number: 801-325-1428
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