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1497212344
RAY FADICH
BRIGHAM CITY, UT
NPI
1497212344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
RAY FADICH
712 S 200 E
BRIGHAM CITY, UT 84302-3387
Phone number: 435-695-4111
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Mailing Address
RAY FADICH
82 S 800 W
BRIGHAM CITY, UT 84302-2400
Phone number: 435-723-8548
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