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1386202521
MARTY ALLEN MALMSTROM
SLC, UT
NPI
1386202521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
MARTY ALLEN MALMSTROM
344 E 100 S
SLC, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
MARTY ALLEN MALMSTROM
344 E 100 S
SLC, UT 84111-1700
Phone number: 801-322-3222
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