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1902355258
ANTHONY MOORE
SALT LAKE CITY, UT
NPI
1902355258
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2016-09-28
Last Update Date
2016-09-28
Business Address
-- ANTHONY MOORE
344 E 100 S STE 301
SALT LAKE CITY, UT 84111-1700
Phone number: 801-322-4257
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Mailing Address
-- ANTHONY MOORE
PO BOX 675
MIDVALE, UT 84047-0675
Phone number: 801-758-0345
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