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1477820843
MARK JEFFERSON LANCE
SLC, UT
NPI
1477820843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-11-29
Last Update Date
2011-11-29
Business Address
-- MARK JEFFERSON LANCE
650 KOMAS DR 200
SLC, UT 84108-1215
Phone number: 801-587-3359
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Mailing Address
-- MARK JEFFERSON LANCE
650 KOMAS DR 200
SLC, UT 84108-1215
Phone number: 801-587-3359
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