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1588922439
THEADORA SAKATA
SALT LAKE CITY, UT
NPI
1588922439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 8790923-1205)
Enumeration Date
2012-04-29
Last Update Date
2021-08-02
Business Address
THEADORA SAKATA
555 FOOTHILL DR SUITE 301
SALT LAKE CITY, UT 84112-1106
Phone number: 801-213-8846
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Mailing Address
THEADORA SAKATA
375 CHIPETA WAY SUITE A
SALT LAKE CITY, UT 84108-1260
Phone number:
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