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1831879279
ALEXANDER JOHN VANDETTA
SALT LAKE CITY, UT
NPI
1831879279
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Other Name
ALEC VAN DETTA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-20
Last Update Date
2023-07-20
Business Address
ALEXANDER JOHN VANDETTA BS, CPhT
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 801-860-3771
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Mailing Address
ALEXANDER JOHN VANDETTA BS, CPhT
425 S 1000 E APT 407C
SALT LAKE CITY, UT 84102-3009
Phone number: 801-860-3771
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