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1770230096
KELLY E FORD
SOUTH SALT LAKE, UT
NPI
1770230096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
KELLY E FORD FPSS
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 385-468-4548
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Mailing Address
KELLY E FORD FPSS
4556 S 2200 W
TAYLORSVILLE, UT 84129-6049
Phone number: 801-403-3813
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