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1346881851
EDEM KOFFI AMEVOR
SALT LAKE CITY, UT
NPI
1346881851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 6432485-1701)
Enumeration Date
2019-10-05
Last Update Date
2019-10-05
Business Address
EDEM KOFFI AMEVOR
3215 S VALLEY ST
SALT LAKE CITY, UT 84109-4217
Phone number: 801-486-8477
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Mailing Address
EDEM KOFFI AMEVOR
3215 S VALLEY ST
SALT LAKE CITY, UT 84109-4217
Phone number: 801-486-8477
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