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1326709049
KENTIN FAUTIN
OGDEN, UT
NPI
1326709049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-05
Last Update Date
2022-08-29
Business Address
KENTIN FAUTIN
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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Mailing Address
KENTIN FAUTIN
237 26TH ST
OGDEN, UT 84401-3105
Phone number: 801-625-3700
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