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McKenzie Sabrina Larson

Community Health Worker in Salt Lake City, UT. Individual provider (NPI-1).

NPI number1669931010
StatusActive
Last updated in NPPESMar 15, 2019

Details

NPI
1669931010
Entity type
Individual (NPI-1)
Name
McKenzie Sabrina Larson
Sex
Female
Sole proprietor
No
Enumeration date
Mar 15, 2019
Last updated
Mar 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

857 E 200 S
Salt Lake City, UT 84102-2317

Phone 801-487-3276

Mailing address

857 E 200 S
Salt Lake City, UT 84102-2317

Phone 801-487-3276

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