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1881147361
ELLIOTT MARK CANADA
SALT LAKE CITY, UT
NPI
1881147361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-08-01
Last Update Date
2016-08-01
Business Address
Mr. ELLIOTT MARK CANADA
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1727
Phone number: 801-322-4257
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Mailing Address
Mr. ELLIOTT MARK CANADA
2795 E MORGAN DR
HOLLADAY, UT 84124-3001
Phone number: 801-322-4257
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