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1366184491
MANUEL ERNESTO SAMORA
SALT LAKE CITY, UT
NPI
1366184491
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-04-09
Last Update Date
2022-04-09
Business Address
MANUEL ERNESTO SAMORA
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-3402
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Mailing Address
MANUEL ERNESTO SAMORA
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-3402
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