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1770079089
TAMERA LYN DERUSHIA
SALT LAKE CITY, UT
NPI
1770079089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
TAMERA LYN DERUSHIA
4125 S 900 E
SALT LAKE CITY, UT 84124-1112
Phone number: 801-743-6111
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Mailing Address
TAMERA LYN DERUSHIA
4460 S HIGHLAND DR
SALT LAKE CITY, UT 84124-3543
Phone number:
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