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1891515037
CLARISSA GORDIANO
SALT LAKE CITY, UT
NPI
1891515037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
CLARISSA GORDIANO
1020 S MAIN ST
SALT LAKE CITY, UT 84101-3176
Phone number: 888-949-4864
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Mailing Address
CLARISSA GORDIANO
3725 W 4100 S STE 201
WEST VALLEY CITY, UT 84120-5411
Phone number:
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