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1386047264
EMA THAKE
SALT LAKE CITY, UT
NPI
1386047264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 9067417-4901)
Enumeration Date
2014-10-06
Last Update Date
2014-10-06
Business Address
EMA THAKE MS, RD
389 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number: 385-282-2700
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Mailing Address
EMA THAKE MS, RD
389 S 900 E
SALT LAKE CITY, UT 84102-2310
Phone number:
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