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1366221368
AMANDA HACKWORTH
SALT LAKE CITY, UT
NPI
1366221368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-27
Last Update Date
2023-09-27
Business Address
AMANDA HACKWORTH
201 PRESIDENTS CIR
SALT LAKE CITY, UT 84112-9049
Phone number: 801-585-1820
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Mailing Address
AMANDA HACKWORTH
3536 W FENCHURCH RD
WEST JORDAN, UT 84084-3615
Phone number: 801-707-6842
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