Provider First Line Business Practice Location Address:
SALT LAKE COUNTY GOVERNMENT CTR
Provider Second Line Business Practice Location Address:
2001 SOUTH STATE STREET, STE S2400
Provider Business Practice Location Address City Name:
SALT LAKE CITY
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84190-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-870-8500
Provider Business Practice Location Address Fax Number:
801-467-8393
Provider Enumeration Date:
02/02/2011