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1366194904
JUNIOR MANIVANH
LAYTON, UT
NPI
1366194904
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-01-25
Last Update Date
2022-01-25
Business Address
JUNIOR MANIVANH
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
JUNIOR MANIVANH
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
Copy
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