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1497122071
ELEONORA SUSTAITA
SLC, UT
NPI
1497122071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-08-30
Last Update Date
2015-08-30
Business Address
-- ELEONORA SUSTAITA
344 E 100 S STE 301
SLC, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
-- ELEONORA SUSTAITA
2119 W 1630 N
CLINTON, UT 84015-5748
Phone number: 385-888-2585
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