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1619734357
LARA MIE FUNAKOSHI
SLC, UT
NPI
1619734357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
(Licence: UT 230)
Enumeration Date
2024-02-29
Last Update Date
2024-02-29
Business Address
LARA MIE FUNAKOSHI CCSH
375 S CHIPETA WAY STE A200
SLC, UT 84108-1261
Phone number: 801-587-3345
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Mailing Address
LARA MIE FUNAKOSHI CCSH
836 E GATEWOOD DR
SANDY, UT 84094-3009
Phone number: 801-643-4504
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