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1659681518
ENOLA JENAE ERICKSON
MIDVALE, UT
NPI
1659681518
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-10-13
Last Update Date
2010-10-13
Business Address
-- ENOLA JENAE ERICKSON
7575 S 900 E
MIDVALE, UT 84047-2343
Phone number: 801-208-1031
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Mailing Address
-- ENOLA JENAE ERICKSON
PO BOX 593
SANDY, UT 84091-0593
Phone number: 801-819-1978
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