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1558181750
GRETEL TAM
SALT LAKE CITY, UT
NPI
1558181750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 86153172)
Enumeration Date
2024-10-12
Last Update Date
2024-10-12
Business Address
GRETEL TAM RD
63 S 600 W APT B202
SALT LAKE CITY, UT 84101-1036
Phone number: 801-361-2281
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Mailing Address
GRETEL TAM RD
63 S 600 W APT B202
SALT LAKE CITY, UT 84101-1036
Phone number: 801-361-2281
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