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1952014136
IVY ELIZABETH DAVIS
SALT LAKE CITY, UT
NPI
1952014136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-01-03
Last Update Date
2023-01-03
Business Address
IVY ELIZABETH DAVIS
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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Mailing Address
IVY ELIZABETH DAVIS
857 E 200 S
SALT LAKE CITY, UT 84102-2317
Phone number: 801-487-3276
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