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1861243693
JORDAN TARA JAYLENE FULLMER
SALT LAKE CITY, UT
NPI
1861243693
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-29
Last Update Date
2024-03-29
Business Address
JORDAN TARA JAYLENE FULLMER
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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Mailing Address
JORDAN TARA JAYLENE FULLMER
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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