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1518431477
COLEMAN MOSS
SALT LAKE CITY, UT
NPI
1518431477
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
COLEMAN MOSS
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
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Mailing Address
COLEMAN MOSS
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number:
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