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1871066266
JEFFERY LYLE SUMMERS
TAYLORSVILLE, UT
NPI
1871066266
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
JEFFERY LYLE SUMMERS
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
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Mailing Address
JEFFERY LYLE SUMMERS
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 801-963-4360
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