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1396118063
JANIS PORTREY
SALT LAKE CITY, UT
NPI
1396118063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
-- JANIS PORTREY
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
-- JANIS PORTREY
1264 PRESIDENTIAL DR
WOODS CROSS, UT 84087-2253
Phone number: 801-644-5006
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