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1962023309
JOHNATHAN DAVIS
SALT LAKE CITY, UT
NPI
1962023309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
JOHNATHAN DAVIS
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number: 801-363-9400
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Mailing Address
JOHNATHAN DAVIS
252 W BROOKLYN AVE
SALT LAKE CITY, UT 84101-3024
Phone number: 801-363-9400
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