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1720545585
ALESSA WADE
SALT LAKE CITY, UT
NPI
1720545585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: UT 9113041-4901)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
ALESSA WADE RD
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number: 801-232-6573
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Mailing Address
ALESSA WADE RD
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number:
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