KENT FULLMER

SALT LAKE CITY, UT
NPI1376084772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2017-03-17
Last Update Date2017-03-17
Business Address
-- KENT FULLMER
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-3402
Mailing Address
-- KENT FULLMER
1533 E 6670 S
SALT LAKE CITY, UT 84121-2773
Phone number:
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