Individual
MRS. EMMA JANE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Mailing address
344 E 100 S, SALT LAKE CITY, UT 84111-1700
(801) 322-3222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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