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1356029102
AUDREY MEMMOTT
SALT LAKE CITY, UT
NPI
1356029102
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
AUDREY MEMMOTT
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-674-0212
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Mailing Address
AUDREY MEMMOTT
659 E KINGS PEAK CV
DRAPER, UT 84020-7922
Phone number:
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