JOSHUA BAIN TATE

PROVO, UT
NPI1609418029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2019-10-17
Last Update Date2019-10-17
Business Address
JOSHUA BAIN TATE
836 N 1375 W
PROVO, UT 84604-3049
Phone number: 801-375-2523
Mailing Address
JOSHUA BAIN TATE
299 N 200 W
BOUNTIFUL, UT 84010-7043
Phone number: 801-815-3443
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