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1831867563
TIA BENALLY
SALT LAKE CITY, UT
NPI
1831867563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-08-30
Last Update Date
2021-08-30
Business Address
TIA BENALLY
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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Mailing Address
TIA BENALLY
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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