MARK JEFFERSON LANCE

SLC, UT
NPI1477820843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-11-29
Last Update Date2011-11-29
Business Address
MARK JEFFERSON LANCE
650 KOMAS DR 200
SLC, UT 84108-1215
Phone number: 801-587-3359
Mailing Address
MARK JEFFERSON LANCE
650 KOMAS DR 200
SLC, UT 84108-1215
Phone number: 801-587-3359
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