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EHDAA ABDULMUTTALEB

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1508115304

Individual Registrant:
 EHDAA  ABDULMUTTALEB 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5965 S 900 E  SALT LAKE CITY, UT 84121-1720 US
Tel: 801-263-7100  Fax: --

Contact information for business:
5965 S 900 E  SALT LAKE CITY, UT 84121-1720 US
Tel: 801-263-7100  Fax: --

Registration Information:
NPI: 1508115304
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS UT - Page 1

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