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Individual

AMIE KENDALL GEOFFROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3610 S 1000 W, SOUTH SALT LAKE, UT 84119
(888) 949-4864
Mailing address
4460 S HIGHLAND DR STE 210, SALT LAKE CITY, UT 84124-3550
(801) 322-3222

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/17/2019
Last updated
08/06/2019
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