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1417774050
KEANON COUSHAWN BATTLE
SALT LAKE CITY, UT
NPI
1417774050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: UT UT014160101108)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
KEANON COUSHAWN BATTLE
2020 S 1300 E STE C
SALT LAKE CITY, UT 84105-3664
Phone number: 801-401-3515
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Mailing Address
KEANON COUSHAWN BATTLE
1623 N 3860 W
LEHI, UT 84043-4652
Phone number: 206-751-8091
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