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1356880306
RICHARD WILSON
SALT LAKE CITY, UT
NPI
1356880306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- RICHARD WILSON
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- RICHARD WILSON
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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