NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1154745693 |   |   |   | UTAH PRIDE CENTER | PO BOX 1078 | SALT LAKE CITY | UT | 841101078 |
1821396540 | HADEN | JACK | DAVIS |   | 110 S 800 E APT 203 | SALT LAKE CITY | UT | 841024145 |
1780994129 | SHAPIRO | CAPPY | RAE |   | 425 E 200 S | SALT LAKE CITY | UT | 841112129 |