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1619342359
MICHAEL VREDENBURG
SALT LAKE CITY, UT
NPI
1619342359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-12-07
Last Update Date
2015-12-07
Business Address
-- MICHAEL VREDENBURG
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
-- MICHAEL VREDENBURG
4197 W 4100 S
WEST VALLEY CITY, UT 84120-5348
Phone number:
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