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1902504715
BENTON TULLIS
SALT LAKE CITY, UT
NPI
1902504715
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
BENTON TULLIS
27 S MARIO CAPECCHI DR
SALT LAKE CITY, UT 84112-5888
Phone number: 509-216-9393
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Mailing Address
BENTON TULLIS
1828 E 1700 S REAR
SALT LAKE CITY, UT 84108-2958
Phone number: 509-216-9393
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