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1982425617
EZRA DANIEL FALATEA
SALT LAKE CITY, UT
NPI
1982425617
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: UT 11060723-3102)
Enumeration Date
2024-10-24
Last Update Date
2024-10-24
Business Address
EZRA DANIEL FALATEA
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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Mailing Address
EZRA DANIEL FALATEA
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
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