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1982462495
NOURISHED ROOTS, LLC
NORTH SALT LAKE, UT
NPI
1982462495
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Entity Type
Organization
Authorized Contact
ALYSSA SCOTESE
Direct Owner
440-479-0042
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
NOURISHED ROOTS, LLC
52 W 330 N
NORTH SALT LAKE, UT 84054-2332
Phone number: 440-479-0042
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Mailing Address
NOURISHED ROOTS, LLC
52 W 330 N
NORTH SALT LAKE, UT 84054-2332
Phone number:
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