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Individual

KOFFI WUNAKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1134 E COMMODORE LN, SARATOGA SPRINGS, UT 84045-5569
(385) 445-3461
Mailing address
1134 E COMMODORE LN, SARATOGA SPRINGS, UT 84045-5569
(385) 445-3461

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
14536085-0160
UT
343900000X
Non-emergency Medical Transport (VAN)
Primary
14536085-0160
UT

Other

Enumeration date
01/29/2025
Last updated
01/29/2025
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