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1356603500
LUCAS SCOTT HAYNES
SALT LAKE CITY, UT
NPI
1356603500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2012-06-13
Last Update Date
2012-06-13
Business Address
-- LUCAS SCOTT HAYNES
344 E 100 S STE. 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- LUCAS SCOTT HAYNES
3291 S 4440 W
WEST VALLEY CITY, UT 84120-1844
Phone number: 505-629-9912
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