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1346704970
JUSTIN MOORE
SALT LAKE CITY, UT
NPI
1346704970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-28
Last Update Date
2019-01-28
Business Address
JUSTIN MOORE
4460 S HIGHLAND DR STE 230
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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Mailing Address
JUSTIN MOORE
4460 S HIGHLAND DR STE 230
SALT LAKE CITY, UT 84124-3550
Phone number:
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