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1609584929
ENNIO D CARDOZO
SOUTH SALT LAKE, UT
NPI
1609584929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: UT 1897)
Enumeration Date
2022-11-07
Last Update Date
2024-06-18
Business Address
ENNIO D CARDOZO CPSS
3269 S MAIN ST STE 230
SOUTH SALT LAKE, UT 84115-3769
Phone number: 801-935-4447
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Mailing Address
ENNIO D CARDOZO CPSS
838 N SIR MICHAEL DR
SALT LAKE CITY, UT 84116-1545
Phone number: 385-285-9073
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