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1891343109
GENESIS OTHON
SALT LAKE CITY, UT
NPI
1891343109
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
GENESIS OTHON
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number: 801-363-9400
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Mailing Address
GENESIS OTHON
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number:
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