SAMUEL JACKSON WAITES

SALT LAKE CITY, UT
NPI1871008052
Other NameSAMUEL JACKSON WAITES
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2017-12-09
Last Update Date2017-12-09
Business Address
Mr. SAMUEL JACKSON WAITES
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
Mailing Address
Mr. SAMUEL JACKSON WAITES
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-428-4257
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