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1508552076
KEVIN SISNEROS
SALT LAKE CITY, UT
NPI
1508552076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
KEVIN SISNEROS
1228 S 900 E
SALT LAKE CITY, UT 84105-1326
Phone number: 801-883-5378
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Mailing Address
KEVIN SISNEROS
4460 S HIGHLAND DR STE 120
SALT LAKE CITY, UT 84124-3550
Phone number: 888-949-4864
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