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1003268335
KELLEY DIANE IRMEN
LAYTON, UT
NPI
1003268335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: UT 10074151-3502)
Enumeration Date
2016-07-11
Last Update Date
2018-02-26
Business Address
KELLEY DIANE IRMEN
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
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Mailing Address
KELLEY DIANE IRMEN
934 S MAIN ST
LAYTON, UT 84041-7135
Phone number: 801-773-7060
Copy
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