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1326684002
SAMUEL HAWKEN JOHNSON
SALT LAKE CITY, UT
NPI
1326684002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-11-18
Last Update Date
2019-11-18
Business Address
SAMUEL HAWKEN JOHNSON
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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Mailing Address
SAMUEL HAWKEN JOHNSON
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
Copy
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