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1700545761
PEDRO RICO
SOUTH SALT LAKE, UT
NPI
1700545761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
(Licence: UT 1646)
Enumeration Date
2021-12-16
Last Update Date
2021-12-16
Business Address
PEDRO RICO CPSS
3269 S MAIN ST STE 230
SOUTH SALT LAKE, UT 84115-3769
Phone number: 801-935-4447
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Mailing Address
PEDRO RICO CPSS
3269 S MAIN ST STE 230
SOUTH SALT LAKE, UT 84115-3769
Phone number: 801-935-4447
Copy
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