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1790410058
CHEYENNE WALLOWINGBULL
SALT LAKE CITY, UT
NPI
1790410058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-07-20
Last Update Date
2022-07-20
Business Address
CHEYENNE WALLOWINGBULL
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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Mailing Address
CHEYENNE WALLOWINGBULL
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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