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1003249418
MATTHEW KAEL NISSON
SALT LAKE CITY, UT
NPI
1003249418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2013-08-21
Last Update Date
2017-02-27
Business Address
-- MATTHEW KAEL NISSON
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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Mailing Address
-- MATTHEW KAEL NISSON
5965 S 900 E
SALT LAKE CITY, UT 84121-1720
Phone number: 801-263-7100
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