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1679336275
MOZART BAUTISTA
SALT LAKE CITY, UT
NPI
1679336275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
MOZART BAUTISTA
780 S GUARDSMAN WAY
SALT LAKE CITY, UT 84108-1374
Phone number: 801-581-0194
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Mailing Address
MOZART BAUTISTA
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5427
Phone number: 888-949-4864
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