EXAVIOR DAVID LOGAN

SALT LAKE CITY, UT
NPI1881456465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-01-29
Last Update Date2024-01-29
Business Address
EXAVIOR DAVID LOGAN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
Mailing Address
EXAVIOR DAVID LOGAN
344 E 100 S
SALT LAKE CITY, UT 84111-1700
Phone number: 801-428-4257
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