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1508405176
MIRANDA MAXWELL
SALT LAKE CITY, UT
NPI
1508405176
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
172V00000X Community Health Worker
Enumeration Date
2019-12-31
Last Update Date
2021-01-07
Business Address
MIRANDA MAXWELL
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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Mailing Address
MIRANDA MAXWELL
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number: 888-949-4864
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