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1902489958
LAISENE JARED SEWELL
ST GEORGE, UT
NPI
1902489958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-04-28
Last Update Date
2021-04-28
Business Address
LAISENE JARED SEWELL
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770-2951
Phone number: 435-705-7574
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Mailing Address
LAISENE JARED SEWELL
249 E TABERNACLE ST STE 100
ST GEORGE, UT 84770-2951
Phone number: 435-705-7574
Copy
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