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1912460395
AMBER HANSEN
SLC, UT
NPI
1912460395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
AMBER HANSEN
411 N GRANT ST
SLC, UT 84116-2725
Phone number: 801-359-8862
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Mailing Address
AMBER HANSEN
411 N GRANT ST
SLC, UT 84116-2725
Phone number: 801-359-8862
Copy
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