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1366075202
AMANDA JANAI HUARACHA
SALT LAKE CITY, UT
NPI
1366075202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
AMANDA JANAI HUARACHA
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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Mailing Address
AMANDA JANAI HUARACHA
4460 S HIGHLAND DR STE 210
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
Copy
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