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1497230734
THERESA E DVORAK
SALT LAKE CITY, UT
NPI
1497230734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 6317644-4901)
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
THERESA E DVORAK RD
3334 E FORTUNA DR
SALT LAKE CITY, UT 84124-5616
Phone number: 970-420-9338
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Mailing Address
THERESA E DVORAK RD
3334 E FORTUNA DR
SALT LAKE CITY, UT 84124-5616
Phone number: 970-420-9338
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