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1457659963
JACOB SHAFIZADEN
SALT LAKE CITY, UT
NPI
1457659963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-03-08
Last Update Date
2011-03-08
Business Address
-- JACOB SHAFIZADEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- JACOB SHAFIZADEN
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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