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1366745028
DANIEL SOUTHERLAND
SALT LAKE CITY, UT
NPI
1366745028
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-12-17
Last Update Date
2010-12-17
Business Address
-- DANIEL SOUTHERLAND
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- DANIEL SOUTHERLAND
68 S 600 E
SALT LAKE CITY, UT 84102-1007
Phone number: 801-322-1001
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