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1497220289
ANTWAIN MARCEL MCGLOTHIN
SALT LAKE CITY, UT
NPI
1497220289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
ANTWAIN MARCEL MCGLOTHIN
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 512-745-4082
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Mailing Address
ANTWAIN MARCEL MCGLOTHIN
375 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1260
Phone number: 512-745-4082
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