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1457737520
TALIA JOHANSEN
SALT LAKE CITY, UT
NPI
1457737520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
-- TALIA JOHANSEN
207 S 600 E 3C
SALT LAKE CITY, UT 84102-2003
Phone number: 801-322-4257
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Mailing Address
-- TALIA JOHANSEN
207 S 600 E 3C
SALT LAKE CITY, UT 84102-2003
Phone number: 801-322-4257
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