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1326518564
IAN MICHAEL MOORE
SALT LAKE CITY, UT
NPI
1326518564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-11-30
Last Update Date
2018-11-30
Business Address
IAN MICHAEL MOORE
1370 S WEST TEMPLE
SALT LAKE CITY, UT 84115-5218
Phone number: 801-664-2224
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Mailing Address
IAN MICHAEL MOORE
2345 E CAMPUS DR
SALT LAKE CITY, UT 84121-3952
Phone number: 801-664-2224
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