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Organization

1 SOURCE 211 SERVICES

Active
Other names
We Source
Organization subpart
No

Provider details

NPI number
Authorized official
MISS TAUNDRIA R DUNCAN ADVOCATE/ CNA (PUBLIC SERVICE ADMINISTRATOR)
(702) 462-0067
Entity
Organization

Contact information

Practice address
955 E 200 S, SALT LAKE CITY, UT 84102-2432
(702) 462-0067
Mailing address
PO BOX 633, SALT LAKE CITY, UT 84110-0633
(702) 462-0067

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary

Other

Enumeration date
07/21/2023
Last updated
06/22/2024
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