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1952702904
FANIA AMBURN
EAGLE MOUNTAIN, UT
NPI
1952702904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: UT 1041S0200S)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
-- FANIA AMBURN
2082 CASSIDY WAY
EAGLE MOUNTAIN, UT 84005-4630
Phone number: 801-687-6469
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Mailing Address
-- FANIA AMBURN
2082 CASSIDY WAY
EAGLE MOUNTAIN, UT 84005-4630
Phone number: 801-687-6469
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