JOHN ANTHONY FULLWOOD

SOUTH SALT LAKE, UT
NPI1851927602
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2020-03-12
Last Update Date2020-03-12
Business Address
JOHN ANTHONY FULLWOOD
344 E 100 S
SOUTH SALT LAKE, UT 84115
Phone number: 801-322-3222
Mailing Address
JOHN ANTHONY FULLWOOD
344 E 100 S
SOUTH SALT LAKE, UT 84115
Phone number: 801-322-3222
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