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1710461439
ERIC JOHANSEN
SALT LAKE CITY, UT
NPI
1710461439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
ERIC JOHANSEN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-3222
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Mailing Address
ERIC JOHANSEN
570 E COMMONWEALTH AVE
SALT LAKE CITY, UT 84106-1402
Phone number: 201-207-0890
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