KEAN GIRESSE GOUE

SOUTH SALT LAKE, UT
NPI1962251819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: UT  F24-112840)
Enumeration Date2024-05-14
Last Update Date2024-05-14
Business Address
KEAN GIRESSE GOUE
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 801-503-4369
Mailing Address
KEAN GIRESSE GOUE
177 W PRICE AVE
SOUTH SALT LAKE, UT 84115-4345
Phone number: 801-503-4369