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NPI Profile for DOMINIQUE BADURA in PROVO, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Community Health Worker |
172V00000X |
| NPI # | 1952850018 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/29/2016 | |
| Last updated | 01/24/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DOMINIQUE BADURA
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DOMINIQUE BADURA