Provider Information for 1679942429
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CHYRESE DOWNS
Sex: Female
NPI: 1679942429
Last Updated: 2015-09-23
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1679942429 | ||||||||
| Enumeration Date | 2015-09-23 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1435 E WOODHILL DR SANDY, UT 84092-5324 United States Phone: 801-856-4516 | Fax: | ||||||||
| Primary Practice Address | 344 E 100 S STE 301 SALT LAKE CITY, UT 84111-1727 United States Phone: 385-468-8833 | Fax: | ||||||||
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